MILLER ORTHOPAEDIC AFFILIATES PC
NPI 1659379519
Orthopaedic Surgery in Council Bluffs, IA
NPI Status: Active since July 13, 2005
Contact Information
1 EDMUNDSON PLACE
SUITE 500
COUNCIL BLUFFS, IA
ZIP 51503
Phone: (712) 323-5333
Fax: (712) 323-3252
- Organization
- Orthopaedic Surgery
- Accepts Insurance
- CLIA Number: 16D1024674
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 04-18-2026
About MILLER ORTHOPAEDIC AFFILIATES PC
This page provides the complete NPI Profile along with additional information for Miller Orthopaedic Affiliates Pc, a provider established in Council Bluffs, Iowa operating as a Orthopaedic Surgery. The healthcare provider is registered in the NPI registry with number 1659379519 assigned on July 2005. The practitioner's primary taxonomy code is 207X00000X. The provider is registered as an organization and their NPI record was last updated 14 years ago. Miller Orthopaedic Affiliates Pc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Dr. Daniel J. Larose Md (President)
- NPI
- 1659379519
- Provider Name
- MILLER ORTHOPAEDIC AFFILIATES PC
- Entity Type
- Organization
- Location Address
- 1 EDMUNDSON PLACE SUITE 500 COUNCIL BLUFFS, IA 51503
- Location Phone
- (712) 323-5333
- Location Fax
- (712) 323-3252
- Mailing Address
- 1 EDMUNDSON PL STE 500 COUNCIL BLUFFS, IA 51503
- Mailing Phone
- (712) 323-5333
- Mailing Fax
- (712) 323-3252
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 07-13-2005
- Last Update Date
- 07-16-2012
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Orthopaedic Surgery
- Taxonomy Code
- 207X00000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 213ES0103X | Podiatric Medicine & Surgery Service Providers | Podiatrist | |
| 2 | 2251X0800X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | |
| 3 | 332B00000X | Suppliers | Durable Medical Equipment & Medical Supplies | |
| 4 | 332BC3200X | Suppliers | Durable Medical Equipment & Medical Supplies | |
| 5 | 335E00000X | Suppliers | Prosthetic/Orthotic Supplier | |
| 6 | 363A00000X | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant | |
| 7 | 363L00000X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Complete Silver - EPO
- Complete Silver + Vision + Adult Dental - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Everyday Gold - EPO
- Everyday Gold + Vision + Adult Dental - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Elite Gold - EPO
- Elite Gold + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Everyday Gold - EPO
- Everyday Gold + Vision + Adult Dental - EPO
- Focused Silver - EPO
- Focused Silver + Vision + Adult Dental - EPO
- Choice Bronze HSA - EPO
- Choice Bronze HSA + Vision + Adult Dental - EPO
- Clear Gold - EPO
- Clear Gold + Vision + Adult Dental - EPO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Elite Bronze - EPO
- Elite Bronze - HMO
- Elite Bronze + Vision + Adult Dental - EPO
- Elite Bronze + Vision + Adult Dental - HMO
- Clear Gold - EPO
- Clear Gold + Vision + Adult Dental - EPO
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Elite Silver - EPO
- Elite Silver + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Focused Silver - EPO
- Focused Silver + Vision + Adult Dental - EPO
- Medica Insure Bronze $0 Copay PCP Visits - EPO
- Medica Insure Bronze Premier - EPO
- Medica Insure Bronze Share - EPO
- Medica Insure Expanded Bronze Standard - EPO
- Medica Insure Gold $0 Copay PCP Visits - EPO
- Medica Insure Gold Share - EPO
- Medica Insure Gold Standard - EPO
- Medica Insure Silver $0 Copay PCP Visits - EPO
- Medica Insure Silver Share - EPO
- Medica Insure Silver Standard - EPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 0701871 | MEDICAID (05) | IA | |
| 0701872 | MEDICAID (05) | IA | |
| DF0516 | MEDICARE PIN (08) | NE | |
| 0701830 | MEDICAID (05) | IA | |
| 09602 | MEDICARE PIN (08) | IA | |
| 09602 | OTHER (01) | IA | WELLMARK GRP # |
| 0393980001 | MEDICARE NSC (07) | IA | |
| 0701873 | MEDICAID (05) | IA | |
| 10025346400 | MEDICAID (05) | NE | |
| =========13 | MEDICAID (05) | NE | |
| 0119040 | MEDICAID (05) | IA | |
| 099614 | MEDICARE PIN (08) | NE | |
| CS7907 | MEDICARE PIN (08) | IA |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 16D1024674
- Facility Type
- Physician Office
- Certificate Effective Date
- April 19, 2024
- Certificate Expiration Date
- April 18, 2026
- Laboratory Director
- CLIFFORD K. BOESE
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Miller Orthopaedic Affiliates Pc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1659379519, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 71. The final step is to find the difference between that total and the next multiple of ten (80 - 71 = 9).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 71 is 80. The difference is the calculated check digit.
Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1659379519, enumerated as an "organization" on July 13, 2005.
The provider is located at 1 EDMUNDSON PLACE SUITE 500 COUNCIL BLUFFS, IA 51503 and the phone number is (712) 323-5333.
Orthopaedic Surgery with taxonomy code 207X00000X.
The provider might be accepting Accepts: Ambetter from Home State Health, Ambetter from. Please consult your insurance carrier or call the provider to verify.
