MEDICARE: DR. BARRY H MILLER M.D.

Medicare Provider Information

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207L00000X	Anesthesiology Physician	01038560A	IN

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
8	134960A	OTHER	IN	UNICARE MEDICARE
11	050067689	OTHER	IN	RAILROAD MEDICARE

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	000000065219	OTHER	IN	ANTHEM SENIOR ADVANTAGE
2	100394730	OTHER	IN	MDWISE HOOSIER ALLIANCE
3	2439495000	OTHER	KY	PASSPORT ADVANTAGE
4	000000065219	OTHER	IN	ANTHEM
5	000000065219	OTHER	KY	ANTHEM
6	1161028	OTHER	KY	PASSPORT
7	129703800	OTHER	IN	BLACK LUNG PROGRAM
9	000000065219	OTHER	IN	INDIANA COMPREHENSIVE
10	000000065219	OTHER	IN	ONE NATION BENEFIT
12	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
13	129703800	OTHER	IN	US DEPT OF LABOR
14	000000065219	OTHER	IN	UNICARE
15	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
16	100394730	OTHER	IN	MANAGED HEALTH SERVICES
17	000000065219	OTHER	IN	HEALTHLINK
18	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

NPI Number	:	1124010517
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BARRY H MILLER M.D.

Provider Business Mailing Address
First Line	:	320 WHITTINGTON PKWY
Second Line	:	SUITE 301
City	:	LOUISVILLE
State	:	KY
Zip	:	40222-4928
Country	:	US
Telephone Number	:	502-625-5584
Fax Number	:	502-426-2264

Provider Business Practice Location Address
First Line	:	1850 STATE ST
Second Line	:
City	:	NEW ALBANY
State	:	IN
Zip	:	47150-4990
Country	:	US
Telephone Number	:	502-625-5584
Fax Number	:	502-426-2264

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

Provider Enumeration Date	:	08/22/2005
Last Update Date	:	05/12/2016

10 UNION SQ E , BETH ISRAEL MED CTR- DEPT OF REHAB MEDICARE
NEW YORK, NY
10003-3314

Practice Phone: 212-420-2757
Practice Fax: