Healthcare Provider Details

I. General information

NPI: 1285694406
Provider Name (Legal Business Name): JAMES WILLIAM MILLER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/23/2006
Last Update Date: 09/15/2021
Certification Date: 09/15/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7317 SHELL BRIDGE RD.
LAUREL DE
19931-0166
US

IV. Provider business mailing address

PO BOX 166
BETHEL DE
19931-0166
US

V. Phone/Fax

Practice location:
  • Phone: 302-875-5056
  • Fax:
Mailing address:
  • Phone: 302-875-5056
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License NumberC1-0002946
License Number StateDE
# 2
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License NumberD29980
License Number StateMD
# 3
Primary TaxonomyN
Taxonomy Code2085B0100X
TaxonomyBody Imaging Physician
License NumberC1-0002946
License Number StateDE
# 4
Primary TaxonomyN
Taxonomy Code2085N0700X
TaxonomyNeuroradiology Physician
License NumberC1-0002946
License Number StateDE
# 5
Primary TaxonomyN
Taxonomy Code2085N0904X
TaxonomyNuclear Radiology Physician
License NumberC1-0002946
License Number StateDE
# 6
Primary TaxonomyN
Taxonomy Code2085P0229X
TaxonomyPediatric Radiology Physician
License NumberC1-0002946
License Number StateDE
# 7
Primary TaxonomyN
Taxonomy Code2085R0204X
TaxonomyVascular & Interventional Radiology Physician
License NumberC1-0002946
License Number StateDE
# 8
Primary TaxonomyN
Taxonomy Code2085U0001X
TaxonomyDiagnostic Ultrasound Physician
License NumberC1-0002946
License Number StateDE
# 9
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number268746
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: