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1144752445

NPI Code Detail

MEDICARE: DR. AMY ELIZABETH MILLER MD

MEDICARE: DR. AMY ELIZABETH MILLER MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208M00000X	Hospitalist Physician	2021013728	MO
2	208000000X	Pediatrics Physician	35.155758	OH
3	2080P0204X	Pediatric Emergency Medicine (Pediatrics) Physician	2021013728	MO
4	208000000X	Pediatrics Physician	2021013728	MO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1144752445
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. AMY ELIZABETH MILLER MD

Provider Business Mailing Address
First Line	:	14949 ROYALBROOK DR
Second Line	:
City	:	CHESTERFIELD
State	:	MO
Zip	:	63017-7747
Country	:	US
Telephone Number	:	513-476-6425
Fax Number	:

Provider Business Practice Location Address
First Line	:	615 S NEW BALLAS RD
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63141-8221
Country	:	US
Telephone Number	:	314-251-6000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/28/2017
Last Update Date	:	04/07/2026

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Directions to “ DR. AMY ELIZABETH MILLER MD” Practice Location

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