Robert James Miller, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

51476 Issued in MA

Practice address

10 Grove Street
Shelburne Falls, MA 01370

Phone

(413) 625-6021

Fax

(413) 625-6073

NPI assigned

Nov 6, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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

• Shelburne Family Practice

  • Primary Care Clinic/Center
  • Shelburne Falls, MA
  • NPI 1366872079
  NPD (past)
• Shelburne Family Practice

  • Health Service Clinic/Center
  • Shelburne Falls, MA
  • NPI 1730514399
  NPD (past)

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522800000000",
    "number": "1992884282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 GROVE STREET",
            "city": "SHELBURNE FALLS",
            "state": "MA",
            "postal_code": "01370",
            "telephone_number": "413-625-6021",
            "fax_number": "413-625-6073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 GROVE STREET",
            "city": "SHELBURNE FALLS",
            "state": "MA",
            "postal_code": "01370",
            "telephone_number": "413-625-6021",
            "fax_number": "413-625-6073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "ROBERT",
        "middle_name": "JAMES",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-06",
        "last_updated": "2018-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MA",
            "license": "51476",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6172709",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carmelina Lorusso, MSW, LICSW
• Kari Lyden
• Heather Maples, LPN, LHMC
• Morghan McCarthy, C.O.T.A/L
• Jaclyn Mickiewicz, LICSW
• Barbara Jeanne Miner, R.D.O.
• Thomas Joseph Miner, RDO
• Mohawk Manor Rest Home, Inc
• Mohawk Trail Regional School District
• My Guardian Angel PRS, LLC.

• Family Medicine Physician in Shelburne Falls, MA
• Providers in Shelburne Falls, MA by specialty
• Family Medicine Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2018; 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.