MEDICARE: DR. DAVID WAYNE MILLER SR. M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207XS0114X	Adult Reconstructive Orthopaedic Surgery Physician	0101045888	VA
2	207X00000X	Orthopaedic Surgery Physician	0101045888	VA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	200035192	OTHER	VA	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	0900834	OTHER	VA	UNITED HEALTHCARE
4	2214891	OTHER	VA	AETNA HMO
5	288507	OTHER	VA	SOUTHERN HEALTH
6	540885859	OTHER	VA	CIGNA
7	540885859	OTHER	VA	PRIVATE HEALTHCARE SYSTEM
8	17552	OTHER	VA	SH CARENET
9	2138283	OTHER	VA	UNITED HEALTHCARE MAMSI
10	23501	OTHER	VA	OPTIMA HEALTH
11	386536	OTHER	VA	ANTHEM WEST END OPERATORY
12	540885859	OTHER	VA	CORVEL
13	226981	OTHER	VA	ANTHEM HEALTHKEEPERS
14	540885859	OTHER	VA	FIRST HEALTH/CCN
15	540885859	OTHER	VA	C&O EMPLOYEES HEALTHCARE
16	540885859	OTHER	VA	COMPMANAGEMENT
17	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
18	540885859	OTHER	VA	FOCUS

General Provider Information

NPI Number	:	1093753345
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID WAYNE MILLER SR. M.D.

Provider Business Mailing Address
First Line	:	1115 BOULDERS PKWY
Second Line	:	SUITE 200
City	:	NORTH CHESTERFIELD
State	:	VA
Zip	:	23225-4067
Country	:	US
Telephone Number	:	804-560-5595
Fax Number	:	804-560-9029

Provider Business Practice Location Address
First Line	:	1115 BOULDERS PKWY
Second Line	:	SUITE 100
City	:	NORTH CHESTERFIELD
State	:	VA
Zip	:	23225-4067
Country	:	US
Telephone Number	:	804-320-1339
Fax Number	:	804-330-5829

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/02/2006
Last Update Date	:	09/12/2020

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