Healthcare Provider Details

I. General information

NPI: 1578562153
Provider Name (Legal Business Name): STEVEN N MILLER D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/18/2005
Last Update Date: 01/05/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5193 W BROAD ST SUITE 200
COLUMBUS OH
43228-1691
US

IV. Provider business mailing address

5400 FRANTZ RD STE 250
DUBLIN OH
43016-4144
US

V. Phone/Fax

Practice location:
  • Phone: 614-788-3700
  • Fax: 614-878-7005
Mailing address:
  • Phone: 614-544-6155
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number5609
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: