MEDICARE: SCOTT DOUGLAS MCCOSKEY MILLER MD

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	207Q00000X	Family Medicine Physician	20872	IA
2	207R00000X	Internal Medicine Physician	R7186	IA
3	207RH0003X	Hematology & Oncology Physician	20872	IA
4	207R00000X	Internal Medicine Physician	20872	IA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	P00732371	OTHER	IA	RR MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	26271	OTHER	IA	BCBS OF IA
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1356384754
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SCOTT DOUGLAS MCCOSKEY MILLER MD

Provider Business Mailing Address
First Line	:	202 10TH ST SE STE 165
Second Line	:
City	:	CEDAR RAPIDS
State	:	IA
Zip	:	52403-2433
Country	:	US
Telephone Number	:	319-297-2900
Fax Number	:

Provider Business Practice Location Address
First Line	:	202 10TH ST SE STE 165
Second Line	:
City	:	CEDAR RAPIDS
State	:	IA
Zip	:	52403-2433
Country	:	US
Telephone Number	:	319-297-2900
Fax Number	:

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

Provider Enumeration Date	:	06/14/2006
Last Update Date	:	11/05/2024

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Directions to “ SCOTT DOUGLAS MCCOSKEY MILLER MD” Practice Location

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