Healthcare Provider Details

I. General information

NPI: 1053374496
Provider Name (Legal Business Name): JOSEPH E MILLER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/07/2006
Last Update Date: 05/12/2026
Certification Date: 05/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9001 JENNY LIND RD STE 3
FORT SMITH AR
72908-8629
US

IV. Provider business mailing address

9001 JENNY LIND RD STE 3
FORT SMITH AR
72908-8629
US

V. Phone/Fax

Practice location:
  • Phone: 479-385-9001
  • Fax: 479-763-1156
Mailing address:
  • Phone: 479-385-9001
  • Fax: 479-289-5441

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberE-02201
License Number StateAR
# 2
Primary TaxonomyY
Taxonomy Code2081P2900X
TaxonomyPain Medicine (Physical Medicine & Rehabilitation) Physician
License NumberE-02201
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: