Provider Demographics
NPI:1851457279
Name:STEVEN C MILLER
Entity Type:Organization
Organization Name:STEVEN C MILLER
Other - Org Name:STEVEN C MILLER MD PLLC
Other - Org Type:Other Name
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:C
Authorized Official - Last Name:MILLER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:304-599-5599
Mailing Address - Street 1:PO BOX 6409
Mailing Address - Street 2:
Mailing Address - City:WHEELING
Mailing Address - State:WV
Mailing Address - Zip Code:26003-0807
Mailing Address - Country:US
Mailing Address - Phone:304-599-5599
Mailing Address - Fax:304-599-5590
Practice Address - Street 1:1195 PINEVIEW DR
Practice Address - Street 2:
Practice Address - City:MORGANTOWN
Practice Address - State:WV
Practice Address - Zip Code:26505-2700
Practice Address - Country:US
Practice Address - Phone:304-599-5599
Practice Address - Fax:304-599-5590
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-29
Last Update Date:2020-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV11324207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV0097262000Medicaid
WV$$$$$$$$$OtherSOCIAL SECURITY NUMBER
WV1070892OtherCOMPENSATION
WV1070892OtherCOMPENSATION