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EVAN MILLER
NPI 1376236828
Student in an Organized Health Care Education/Training Program in Fairborn, OH

Active since May 31, 2023PECOS Enrolled
2555 UNIVERSITY DR, FAIRBORN, OH 45324(937) 775-8188 Get Directions Write a Review

NPPES record last updated: July 22, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 22, 2024, May 31, 2023 (2 updates tracked since 2023).

About Evan Miller NPPES

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

EVAN MILLER (NPI 1376236828) is an individual student in an organized health care education/training program in Fairborn, Ohio, licensed in Ohio (P100989354) and active in the NPI registry since May 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1376236828
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameEVAN MILLER
Location Address2555 UNIVERSITY DRFairborn, OH 45324-6255
Mailing Address2555 University DrFairborn, OH 45324-6255 · (937) 775-8188
Phone(937) 775-8188
Sole ProprietorNo
Enumeration DateMay 31, 2023
Last NPPES UpdateJuly 22, 20242 updates tracked since enumeration
NPPES CertifiedJuly 22, 2024
✔ NPI 1376236828 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in OH · P100989354
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
2555 UNIVERSITY DR, Fairborn, OH 45324
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Evan Miller 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.

Other Providers at the Same Location NPPES 20

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

SAUMIA THOMAS DO
Psychiatry & Neurology (Psychiatry)
2555 UNIVERSITY DR
FAIRBORN, OH 45324
Greene County (937) 775-7792
DR. ANDREW WAYNE DOBRY JR. MD
Psychiatry & Neurology (Psychiatry)
2555 UNIVERSITY DR
FAIRBORN, OH 45324
Greene County (937) 775-7792
SANA SHAMEEM MD
Student in an Organized Health Care Education/Training Program
2555 UNIVERSITY DR
FAIRBORN, OH 45324
Greene County (937) 775-7792
SETH HOLMQUIST
Student in an Organized Health Care Education/Training Program
2555 UNIVERSITY DR
FAIRBORN, OH 45324
Greene County (937) 775-7792
JULIE MCCORMACK
Psychiatry & Neurology (Psychiatry)
2555 UNIVERSITY DR
FAIRBORN, OH 45324
Greene County (937) 775-7792
LOGAN CERWIN YUSUF DO
Student in an Organized Health Care Education/Training Program
2555 UNIVERSITY DR
FAIRBORN, OH 45324
Greene County (937) 775-7792
AIDAN JAMES VATALARO
Student in an Organized Health Care Education/Training Program
2555 UNIVERSITY DR
FAIRBORN, OH 45324
Greene County (937) 775-7792
NOOR GUL HAQ DO
Student in an Organized Health Care Education/Training Program
2555 UNIVERSITY DR
FAIRBORN, OH 45324
Greene County (937) 775-7792

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 Evan Miller's NPI number?

The NPI number for Evan Miller is 1376236828. It was assigned to this individual provider in the NPPES registry on May 31, 2023.

Where is Evan Miller located?

Evan Miller practices at 2555 University Dr, Fairborn, OH 45324. The listed phone number is (937) 775-8188.

What is Evan Miller's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Evan Miller enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Evan Miller was last updated on July 22, 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.