NPIMap

Organization Active NPI

RC Miller MD., LLC

  • Internal Medicine Physician
  • Bowling Green, OH
National Provider Identifier
1972697795
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35072072 Issued in OH
Legal business name
RC MILLER MD., LLC
Practice address
960 W Wooster St
Suite 205
Bowling Green, OH 43402-2644
Phone
(419) 352-2105
Fax
(419) 352-2695
NPI assigned
Oct 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Beth A Snyder
Title
Billing Manager
Phone
(419) 373-4188

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 35072072 OH Primary

Addresses

Primary practice location

960 W Wooster St
Suite 205
Bowling Green, OH 43402-2644

Mailing address

PO Box 169
Bowling Green, OH 43402-0169
Phone (419) 373-4188

Other identifiers 1

IdentifierTypeStateIssuer
2074071MedicaidOH

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1972697795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 169",
            "city": "BOWLING GREEN",
            "state": "OH",
            "postal_code": "434020169",
            "telephone_number": "419-373-4188",
            "fax_number": "419-373-4189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "960 W WOOSTER ST",
            "address_2": "SUITE 205",
            "city": "BOWLING GREEN",
            "state": "OH",
            "postal_code": "434022644",
            "telephone_number": "419-352-2105",
            "fax_number": "419-352-2695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RC MILLER MD., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SNYDER",
        "authorized_official_first_name": "BETH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "419-373-4188"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35072072",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2074071",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowling Green, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.