Provider Demographics
NPI:1033118765
Name:MILLER, RODNEY A (MD)
Entity Type:Individual
Prefix:DR
First Name:RODNEY
Middle Name:A
Last Name:MILLER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:3373 COMMERCE PKWY
Mailing Address - Street 2:SUITE 2
Mailing Address - City:WOOSTER
Mailing Address - State:OH
Mailing Address - Zip Code:44691-7130
Mailing Address - Country:US
Mailing Address - Phone:330-804-9712
Mailing Address - Fax:330-804-9717
Practice Address - Street 1:1261 WOOSTER RD
Practice Address - Street 2:SUITE 120
Practice Address - City:MILLERSBURG
Practice Address - State:OH
Practice Address - Zip Code:44654-1568
Practice Address - Country:US
Practice Address - Phone:330-674-0775
Practice Address - Fax:330-674-0786
Is Sole Proprietor?:No
Enumeration Date:2005-07-15
Last Update Date:2009-02-12
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OH35065767207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0621287Medicaid
OH0621287Medicaid
OHMI0821604Medicare ID - Type Unspecified
OH8626940001Medicare NSC