Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 0101032556 | VA |
N | 111NI0900X | Internist | 0101032556 | VA |
N | 207RC0000X | Internist - Cardiovascular Disease | 0101032556 | VA |
Y | 207RI0011X | Interventional Cardiology | 0101032556 | VA |
NPI | 1124094883 |
---|---|
Provider Name | Dr. Edward C Miller |
First Address | Chesapeake, VA 23320-4985 |
Second Address | Chesapeake, VA 23320-4985 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/02/2006 |
Last Update Date | 19/05/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
-001 | CHAMPUS/TRICARE (01) | VA |
006013236 | (05) | VA |
006053335 | (05) | VA |
0582M | BC/BS NC (01) | NC |
110130157 | RAILROAD MEDICARE (01) | VA |
15070 | OPTIMA/SENTARA (01) | VA |
15792 | SENTARA OHP/SHP (01) | VA |
250365 | ATHEM BC/BS VA/HK (01) | VA |
259542 | ANTHEM BCBS (01) | VA |
263654 | UHC/MAMSI/MDIPA (01) | VA |
890582M | (05) | NC |
A12823 | (02) | VA |
PAR | AETNA (01) | |
PAR | CIGNA (01) | |
PAR | CORVEL/CORCARE (01) | |
PAR | FIRST HEALTH COMMERCIAL/SOUTHERN HEALTH/COVENTRY (01) | |
PAR | MULTIPLAN (01) | |
PAR | USA MANAGED CARE (01) | |
PAR | VIRGINIA HEALTH NETWORK (01) | |
PAR | VIRGINIA PREMIER HEALTH (01) |