Provider Demographics
NPI:1124010517
Name:MILLER, BARRY H (MD)
Entity Type:Individual
Prefix:DR
First Name:BARRY
Middle Name:H
Last Name:MILLER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:320 WHITTINGTON PKWY
Mailing Address - Street 2:SUITE 301
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40222-4928
Mailing Address - Country:US
Mailing Address - Phone:502-625-5584
Mailing Address - Fax:502-426-2264
Practice Address - Street 1:1850 STATE ST
Practice Address - Street 2:
Practice Address - City:NEW ALBANY
Practice Address - State:IN
Practice Address - Zip Code:47150-4990
Practice Address - Country:US
Practice Address - Phone:502-625-5584
Practice Address - Fax:502-426-2264
Is Sole Proprietor?:No
Enumeration Date:2005-08-22
Last Update Date:2016-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01038560A207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN000000065219OtherANTHEM SENIOR ADVANTAGE
IN100394730OtherMDWISE HOOSIER ALLIANCE
KY2439495000OtherPASSPORT ADVANTAGE
IN000000065219OtherANTHEM
KY000000065219OtherANTHEM
KY1161028OtherPASSPORT
IN129703800OtherBLACK LUNG PROGRAM
IN134960AOtherUNICARE MEDICARE
IN000000065219OtherINDIANA COMPREHENSIVE
IN000000065219OtherONE NATION BENEFIT
IN000000065219OtherUNICARE
IN050067689OtherRAILROAD MEDICARE
IN100394730Medicaid
IN129703800OtherUS DEPT OF LABOR
IN000000065219OtherANTHEM MEDICAID
IN100394730OtherMANAGED HEALTH SERVICES
IN000000065219OtherHEALTHLINK
KY64277973Medicaid
IN134960AMedicare PIN
KY64277973Medicaid