Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jon L Miller, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1700453784

Jon L Miller, MD is a Family Practice in Ketchikan, Alaska. Qualified in 2021, 5 years ago. Practices with Peacehealth, a 69-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Alaska and Ohio.

Years since qualifying
5
Licensed in
AK, OH
In the registry since
2021
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

3100 Tongass Ave
Ketchikan, AK 99901-5746
Phone: (907) 228-8300
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • Five Rivers Family Health Center, Dayton, OH 45406 — (937) 734-4141

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 226230 (AK)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (OH)

Record details

NPI number1700453784
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 8, 2021
Last updated in NPPESNovember 20, 2025
Certification dateNovember 20, 2025
Mailing addressWsu Family Medicine Residency, 2261 Philadelphia Drive Suite 300, Dayton, OH 45406

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Peacehealth — 69 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Ketchikan