Kennith Miller, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

010090 Issued in MO

Practice address

156 W Jefferson St
Spring Green, WI 53588-8005

Phone

(608) 588-2600

Fax

(608) 588-2644

NPI assigned

Feb 7, 2006

Last updated

Oct 2, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

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.

• North Springfield Family Medical Walk in Clinics Inc

  • Urgent Care Clinic/Center
  • Springfield, MO
  • NPI 1326019902
  NPD (past)
• Wellpointe Family Medical

  • Rural Health Clinic/Center
  • Marshfield, MO
  • NPI 1720073638

  Family Medicine

  NPD (past)

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

{
    "created_epoch": "1139270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380672000000",
    "number": "1992778484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "156 W JEFFERSON ST",
            "city": "SPRING GREEN",
            "state": "WI",
            "postal_code": "535888005",
            "telephone_number": "608-588-2600",
            "fax_number": "608-588-2644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "156 W JEFFERSON ST",
            "city": "SPRING GREEN",
            "state": "WI",
            "postal_code": "535888005",
            "telephone_number": "608-588-2600",
            "fax_number": "608-588-2644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "KENNITH",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-07",
        "last_updated": "2013-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "010090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elaine M Makarowski, NP
• Linda Diane McCarthy, P.T.
• Steven George McCarthy, P.T.
• Jennifer McFarlane
• McMiller, LLC (Spring Green Vision Center)
• Elise Byrnes Montesinos, DDS
• Stephanie Melissa Nachreiner, RN
• Ellen L Olson, MD
• Jillian Philipps
• Gena Reitano, CPM, LM

• Family Medicine Physician in Spring Green, WI
• Providers in Spring Green, WI by specialty
• Family Medicine Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2013; 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.