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DR. JOHNATHAN CHANCE MILLER MD
NPI 1235623372
General Practice in Saint Louis, MO

Active since June 21, 2018PECOS Enrolled
7122 NASHVILLE AVE, SAINT LOUIS, MO 63117(314) 329-8109(314) 350-0231 Get Directions Write a Review

NPPES record last updated: August 1, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 1, 2024, Nov 12, 2020, Jun 21, 2018 (3 updates tracked since 2018).

About Dr. Johnathan Chance Miller Md NPPES

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

DR. JOHNATHAN CHANCE MILLER MD (NPI 1235623372) is an individual general practice provider in Saint Louis, Missouri, licensed in Missouri (2020035594) and active in the NPI registry since June 2018. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1235623372
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameDR. JOHNATHAN CHANCE MILLERCredential: MD
Location Address7122 NASHVILLE AVESaint Louis, MO 63117-2337
Mailing Address7122 Nashville AveSaint Louis, MO 63117-2337 · (314) 329-8109 · Fax (314) 350-0231
Phone(314) 329-8109
Fax(314) 350-0231
Sole ProprietorYes
Enumeration DateJune 21, 2018
Last NPPES UpdateAugust 1, 20243 updates tracked since enumeration
NPPES CertifiedAugust 1, 2024
✔ NPI 1235623372 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in MO · 2020035594
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
7122 NASHVILLE AVE, Saint Louis, MO 63117
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Other Identifiers 25

Other101074GA · Ga License
Other31996WV · Wv License
Other334502LA · La License
OtherE-15164AR · Ar License
OtherMD-50615IA · Ia License
Other25MA11832200NJ · Nj License
Other36156953IL · Il License
Other31324MS · Ms License
Other319711NY · Ny License
OtherMED-PHYS-LIC-116474MT · Mt License
Other12314722-1205UT · Ut License
Other2024-00059NC · Nc License
Other4301508656MI · Mi License
Other37701OK · Ok License
OtherMD.45970AL · Al License
Other1013323MA · Ma License
Other2020035594MO · Mo License
Other75961MN · Mn License
OtherMD474783PA · Pa License
Other35.141126OH · Oh License
OtherME165293FL · Fl License
OtherU7016TX · Tx License
Other101277587VA · Va License
Other70912AZ · Az License
OtherD91957MD · Md License

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Johnathan Chance Miller Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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 Johnathan Miller's NPI number?

The NPI number for Johnathan Miller is 1235623372. It was assigned to this individual provider in the NPPES registry on June 21, 2018.

Where is Johnathan Miller located?

Johnathan Miller practices at 7122 Nashville Ave, Saint Louis, MO 63117. The listed phone number is (314) 329-8109.

What is Johnathan Miller's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Johnathan Miller enrolled in Medicare?

Yes. Johnathan Miller is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Johnathan Miller was last updated on August 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.