Miller Orthopaedic Affiliates Pc

LBN: Miller Orthopaedic Affiliates Pc
Miller Orthopaedic Affiliates Pc is an health care organization with primary practice located at 1 Edmundson Place Suite 500, Council Bluffs IA 51503-4619. The organization recently has 8 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic, Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Customized Equipment, Suppliers / Prosthetic/Orthotic Supplier, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is the primary health care specialty. Miller Orthopaedic Affiliates Pc can be contacted via phone (712) 323-5333, or through Larose, Daniel J. via phone (712) 323-5333.

Contact Information

Primary practice address
1 Edmundson Place Suite 500 Council Bluffs IA 51503-4619
Phone: (712) 323-5333
Fax: (712) 323-3252
Website:
Map and Directions
Authorized official contact:
Name: Larose, Daniel J. Doctor of Medicine (MD)
Phone: (712) 323-5333

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic 2251X0800X
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Customized Equipment 332BC3200X
Suppliers / Prosthetic/Orthotic Supplier 335E00000X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X

Profile Details

NPI number 1659379519
LBN Legal business name Miller Orthopaedic Affiliates Pc
DBA Doing business as
Authorized official Larose, Daniel J. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 13th, 2005
Last updated Jul 16th, 2012 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659379519 NPPES
Iowa MEDICAID 0119040
Iowa MEDICAID 0701830
Iowa MEDICAID 0701871
Iowa MEDICAID 0701872
Iowa MEDICAID 0701873
Iowa MEDICAID 10025346400
Iowa Other 09602

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