DR. RANDY KING MILLER D.O.
NPI 1003968058
Family Medicine in Shell Knob, MO

Active since January 18, 2007
25376 STATE HIGHWAY 39, STE 301, SHELL KNOB, MO 65747(417) 236-2680(417) 236-2683 Get Directions Write a Review

NPPES record last updated: December 28, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Randy King Miller D.o. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. RANDY KING MILLER D.O. (NPI 1003968058) is an individual family medicine provider in Shell Knob, Missouri, licensed in Missouri (MO115530) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1003968058
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. RANDY KING MILLERCredential: D.O.
Location Address25376 STATE HIGHWAY 39, STE 301Shell Knob, MO 65747-7343
Mailing Address3800 S National Ave, Ste 540Springfield, MO 65807-5209 · (417) 269-5712 · Fax (417) 269-4869
Fax(417) 236-2683
Sole ProprietorNo
Enumeration DateJanuary 18, 2007
Last NPPES UpdateDecember 28, 2010
NPI 1003968058 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in MO · MO115530
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
25376 STATE HIGHWAY 39, Shell Knob, MO 65747

Other Identifiers 4

Medicare OSCAR/certification136660001MO
Medicaid249997503MO
Medicare UPING29561MO
Medicare ID-Type Unspecified908012041MO

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (General Practice)
25376 STATE HIGHWAY 39, SUITE 201
SHELL KNOB, MO 65747
Clinic/Center (Rural Health)
25376 STATE HIGHWAY 39, SUITE 301
SHELL KNOB, MO 65747
Dentist (General Practice)
25376 STATE HIGHWAY 39, SUITE 201
SHELL KNOB, MO 65747
Home Health
25376 STATE HIGHWAY 39, SUITE 203
SHELL KNOB, MO 65747
Dentist (General Practice)
25376 STATE HIGHWAY 39, SUITE 201
SHELL KNOB, MO 65747

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Randy Miller's NPI number?

The NPI number for Randy Miller is 1003968058. It was assigned to this individual provider in the NPPES registry on January 18, 2007.

Where is Randy Miller located?

Randy Miller practices at 25376 State Highway 39 Ste 301, Shell Knob, MO 65747. The listed phone number is (417) 236-2680.

What is Randy Miller's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Randy Miller was last updated on December 28, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.