Provider Demographics
NPI:1992758148
Name:MILLER, JAMES EDWIN (MD)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:EDWIN
Last Name:MILLER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:20375 WEST 151ST ST
Mailing Address - Street 2:SUITE # 301
Mailing Address - City:OLATHE
Mailing Address - State:KS
Mailing Address - Zip Code:66061
Mailing Address - Country:US
Mailing Address - Phone:913-390-8050
Mailing Address - Fax:913-390-8049
Practice Address - Street 1:20375 WEST 151ST ST
Practice Address - Street 2:SUITE # 301
Practice Address - City:OLATHE
Practice Address - State:KS
Practice Address - Zip Code:66061
Practice Address - Country:US
Practice Address - Phone:913-390-8050
Practice Address - Fax:913-390-8049
Is Sole Proprietor?:No
Enumeration Date:2006-05-18
Last Update Date:2011-09-28
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
KS0426924208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS100288130DMedicaid
KS100288130DMedicaid
KS033D00014Medicare PIN