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Deactivated NPI 1003125758 Deactivated / Inactive NPI Male Practitioner

Dr. Jordan E Miller , MD

Plastic Surgery • Boise, ID

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Jordan Miller has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 29, 2010
NPI Deactivation Date June 14, 2019
Total Practice Duration ~9 Years of Practice (2010 – 2019)

Professional Overview & Biography Verified Profile Summary

Dr. Jordan Miller, MD was a registered Plastic Surgery practicing in Boise, ID. Throughout an active medical career spanning 9 years, Dr. Miller provided care at the practice location at 777 N RAYMOND ST until profile deactivation on 2019-06-14.

Practice Location & Contact Primary Location

Practice Address

777 N Raymond St

Boise, ID 837049251

Telephone 2085142500
Fax 2083227018
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Plastic Surgery in Boise, ID

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 34.0 Yrs
State Avg: 29.5 Yrs
Regional Practice Density
10 Specialists

Practicing in Boise, ID (22 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Plastic Surgery Primary Specialty

NUCC Taxonomy Code: 208200000X

State License ID M-7886

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Tracy Adams , DO

Family Medicine

NPI 1003438730

Doctor of Osteopathic Medicine (D.O.)

NPI 1003499203

Doctor of Medicine (M.D.)

NPI 1003499211

Doctor of Osteopathic Medicine (D.O.)

Dr. Winslow Gerrish , PhD

Psychologist - Clinical

NPI 1013297621

Doctor of Philosophy (Ph.D.)

Dr. Jamie O'neill , MD

Family Medicine

NPI 1013762509

Doctor of Medicine (M.D.)

Dr. Olivia Wiese , MD

Family Medicine

NPI 1013762517

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated June 14, 2019

Record deactivated on June 14, 2019

NPI Profile Active September 29, 2010

NPI status registered as active in NPPES database

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Updated Practice Location September 29, 2010

Registered at 777 N RAYMOND ST, BOISE, ID 837049251 (Tel: 2085142500)

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Updated Business Mailing Address September 29, 2010

Registered at 777 N RAYMOND ST, BOISE, ID 837049251 (Tel: 2085142500)

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Provider Name / Credentials Updated September 29, 2010

Recorded as JORDAN MILLER, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) September 29, 2010

Plastic Surgery (License #M-7886 in ID)

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Initial NPI Registration & Enumeration September 29, 2010

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1003125758
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 29, 2010
Last Update: September 29, 2010
Deactivation Date: June 14, 2019

Mailing Address

777 N Raymond St

Boise, ID 837049251

Phone: 2085142500

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.