Healthcare Provider Details

I. General information

NPI: 1104995927
Provider Name (Legal Business Name): MILLER ANESTHESIA & PAIN LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/07/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4199 GATEWAY BLVD THE WOMENS HOSPITAL ANESTHESIA SERVICES
NEWBURGH IN
47630
US

IV. Provider business mailing address

PO BOX 5348
EVANSVILLE IN
47716-5348
US

V. Phone/Fax

Practice location:
  • Phone: 812-842-4200
  • Fax:
Mailing address:
  • Phone: 812-473-0181
  • Fax: 812-473-5822

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License Number
License Number State

VIII. Authorized Official

Name: MICHAEL E MILLER
Title or Position: PRESIDENT
Credential: DO
Phone: 812-473-0181