David R Miller, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

107432-1206 Issued in UT

Practice address

5740 Crestwood Dr
Ogden, UT 84405-4869

Phone

(801) 479-7771

Fax

(801) 479-7795

NPI assigned

May 22, 2007

Last updated

Jan 22, 2018By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in UT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Clanton Enterprises Series LLCGroup PAC ID 3274844683, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Clanton Enterprises, Series LLC

  dba Precision Medical Urgent Care and Family Practice

  • Medical Physician Assistant
  • Provo, UT
  • NPI 1023490091
  Medicare reassignment Care Compare group
• Alpha Home Health Care LLC

  • Home Health Agency
  • St George, UT
  • NPI 1427355932
  NPD (past)
• Alpha Homecare Hospice Inc.

  • Community Based Hospice Care Agency
  • St George, UT
  • NPI 1548552870
  NPD (past)
• Physician House Calls, Inc.

  • Family Medicine Physician
  • Salt Lake City, UT
  • NPI 1093743155
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516579200000",
    "number": "1942419049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5546",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802175546",
            "telephone_number": "801-475-3500",
            "fax_number": "801-475-3489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5740 CRESTWOOD DR",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844054869",
            "telephone_number": "801-479-7771",
            "fax_number": "801-479-7795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "DAVID",
        "middle_name": "R",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-22",
        "last_updated": "2018-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "UT",
            "license": "107432-1206",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1942419049",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Millennial Care Home Oxygen and Medical Services Inc
• Brooke Lane Miller, BSN
• Caitlin Miller, DPT
• Candice Renae Miller, BSN
• Courtney Miller
• Jennifer Michelle Miller, LMT
• Leslie Marie Miller
• Mandy Miller
• Matthew G Miller, DDS
• Mitchell Ray Miller, D.O.

• Physician Assistant in Ogden, UT
• Providers in Ogden, UT by specialty
• Physician Assistant in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.