Provider Demographics
NPI:1023067733
Name:MILLER, JAMES RICHARD (MD)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:RICHARD
Last Name:MILLER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1101 FIRST COLONIAL RD STE 300
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23454-2409
Mailing Address - Country:US
Mailing Address - Phone:757-395-1760
Mailing Address - Fax:757-756-5148
Practice Address - Street 1:1101 FIRST COLONIAL RD STE 300
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23454-2409
Practice Address - Country:US
Practice Address - Phone:757-395-1760
Practice Address - Fax:757-756-5148
Is Sole Proprietor?:No
Enumeration Date:2006-05-09
Last Update Date:2024-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101053971207RI0011X, 207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA216591OtherANTHEM BCBS
VAPAROtherAETNA
VAPAROtherFIRST HEALTH COMMERCIAL/SOUTHERN HEALTH/COVENTRY
VA239541OtherANTHEM
VAPAROtherCIGNA
VAPAROtherMULTIPLAN
479432OtherUHC/MAMSI
VAPAROtherCORVEL/CORVARE
NC065CHOtherBCBS
VA1023067733Medicaid
VA27885OtherOPTIMA/SENTARA
VAPAROtherUSA MANAGED CARE
NC89065CHMedicaid
VAPAROtherVIRGINIA PREMIER HEALTH
VA-001OtherTRICARE/CHAMPUS
VA005848466Medicaid
VA10010593OtherSHP OHP
VAPAROtherVIRGINIA HEALTH NETWORK
VA27885OtherOPTIMA/SENTARA
NC89065CHMedicaid
VAPAROtherCIGNA
VA1023067733Medicaid
VAVAA100592Medicare PIN
VA060061992Medicare PIN