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

Stephen Daniel Miller, PA

Individual provider Physician Assistant · NPI 1942569215

Stephen Daniel Miller, PA is a Physician Assistant in Saint Louis, Missouri. Qualified in 2011, 15 years ago. Licensed in Illinois and Missouri.

Years since qualifying
15
Licensed in
IL, MO
In the registry since
2012
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

12855 N 40 Dr Ste 350
Saint Louis, MO 63141-8669
Phone: (314) 567-6071
Fax: (314) 453-9965
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 2012012818 (MO)
Physician Assistant Taxonomy 363A00000X · Licence 085.012265 (IL)

Record details

NPI number1942569215
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedMay 8, 2012
Last updated in NPPESJune 30, 2026
Certification dateJune 30, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Accepts Medicare assignment Not indicated

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