NPI Code Details Logo

NPI 1497838684

NPI 1497838684 : GEORGE E MILLER M.D. : EDGEWOOD, KY

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1497838684
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    GEORGE E MILLER M.D.
-----------------------------------------------------
    Gender               |    Male 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    10/23/2006
-----------------------------------------------------
    Last Update Date     |    02/01/2026
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    580 S LOOP RD SUITE 201
-----------------------------------------------------
    City                 |    EDGEWOOD
-----------------------------------------------------
    State                |    KY
-----------------------------------------------------
    Zip                  |    41017-3415
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    859-344-1600
-----------------------------------------------------
    Fax                  |    859-344-0091
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    2300 CHAMBER CENTER DR SUITE 200
-----------------------------------------------------
    City                 |    LAKESIDE PARK
-----------------------------------------------------
    State                |    KY
-----------------------------------------------------
    Zip                  |    41017-1673
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    859-344-5555
-----------------------------------------------------
    Fax                  |    859-344-5552
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    174400000X
-----------------------------------------------------
    Taxonomy Name        |    Specialist
-----------------------------------------------------
    License Number       |    17684
-----------------------------------------------------
    License Number State |    KY
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    208600000X
-----------------------------------------------------
    Taxonomy Name        |    Surgery Physician
-----------------------------------------------------
    License Number       |    17684
-----------------------------------------------------
    License Number State |    KY
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.