About · Josh Miller
About Joshua Paul Design
I’ve always been more picky than my clients. Turns out that’s a pretty good business model.
Based in
Denver, Colorado
Studied
History & English, Goshen College
Focus
Independent medical practices
Clients
Across the country
2011
Designing and building websites since
100+
Websites launched
50+
Industries
2,600+
Client requests handled since 2020
01
How It Started
It started with a problem I had to solve on my own.
I got into web design because I had a problem to solve, with no budget and no one to ask. My dad had designed a product, and it needed a website. I had never built one, so I taught myself.
That first site took six months. I had to work through every part of it until I understood how it worked.
The first site, built for a product my dad designed.
This was back in the early days of the iPhone. Apple’s design philosophy was an early influence. I was drawn to the idea that design is worth getting right. Simplicity is a discipline. How something works and how it looks are the same problem. That really stuck.
After working on a few sites for local businesses, I caught a lucky break and was able to work with Matt and Shari from HGTV’s popular show Room by Room. Their project gave me the confidence to believe that I could do this work well, helped me invest in proper equipment, and my own unique style began to emerge.
The standard I hold myself to is a belief I formed early: if I’m more picky and meticulous than my clients, and do really good work, everything else will take care of itself.
“Design is so simple, that’s why it is so complicated.”
Paul Rand
02
The Long Way Around
I taught myself every part of this work, one problem at a time.
I come from a family of Amish and Mennonite craftsmen. My dad was an interior designer, craftsman and artist. His business was Paul A. Miller Building and Design, and Paul is my middle name, so Joshua Paul Design is a small nod to both. He could see a whole project before it started, and then he could build every part of it himself. Before I had anything of my own to master, he showed me what mastery looks like. Growing up around people who cared deeply about how things were made and the quality of their work left a mark.
I studied history and English at Goshen College, a Mennonite school in Indiana. That education taught me to read carefully and write clearly, and to research anything I need to understand. Those skills matter in this work more than most people would guess.
When I started building websites, I had to teach myself everything, from design and code to SEO and copywriting. Every problem I ran into required a new skill. I’ve been designing and building websites since 2011, more than 100 of them in 50+ industries, and that habit hasn’t changed.
At work.
Teaching myself web design and online marketing turned out to be an advantage I didn’t anticipate. Because I understand how all of it works and how it works together, I catch things that specialists often miss. A layout designed before anyone writes the words, for example, often buries the message. I plan the words, the design and the SEO together, so that doesn’t happen. That’s the kind of mastery my dad had in carpentry and design. Web design turned out to be where I grew into mine.
I still come to every project with a beginner’s mind. I ask a lot of questions and look at each business with fresh eyes, and that is where the best ideas come from.
“In the beginner’s mind there are many possibilities, but in the expert’s there are few.”
Shunryu Suzuki
03
The Back of the Fence
The invisible work, done right whether anyone looks or not.
When Steve Jobs was a boy, he helped his father build a fence around their backyard. His father told him it was just as important to craft the back of the fence as the front. Nobody would ever see it, but you’ll know. Jobs carried that with him. Years later he put it this way: a good carpenter doesn’t use plywood on the back of a beautiful chest of drawers, even though it faces the wall. You’ll know it’s there. He even made his engineers lay out the Macintosh’s circuit board beautifully, a part no customer would ever open the case to see.
I grew up around that same conviction, and web design is full of backs of fences.
Alt text written for each image
Keywords in the file names
Page titles and descriptions written by hand
A full knowledge graph that only search engines and AI tools will ever read
Old web addresses sent to the right new page after a redesign
Software kept current and the site backed up every day
None of it is visible on the page, and all of it affects how a site performs for years.
This business is also full of shortcuts, and most of them are invisible at launch. Nobody would know the difference on day one. The difference shows up later, after the person who cut the corner is long gone.
I do the invisible work with the same care as the parts people see. Most clients will never look at it. But I’ll know it’s there.
“I have worked with Josh for a couple years now and we’ve become fast friends. Josh is so dedicated, so helpful, very kind and patient. Josh walked us step by step through a complete ‘renovation’ of our website, taking the time to teach us how to use it, update it, and personalize it. He has been there for us 24/7 when we have questions… server issues, hacking issues, everything you experience as a website owner. We hope he never decides to get out of the web business, or we may have to as well!!”
Shari Hiller · Matt & Shari
04
How I Work
My goal is to be a pleasure to work with. You always know where things stand.
I work carefully and directly. I explain things in plain terms, tell you what I think and why, and try to handle as much of the thinking as possible upfront. You should never feel like you’re managing me or wondering what’s happening next.
Most clients describe working with me as easy. Things move forward. When a decision needs to be made, I’ll tell you what it is and what I recommend. When something needs your input, I make it easy to give. The rest I handle. Every project runs through the same six steps, and the process page lays them out.
After launch, I stay on. Some clients run their own site, and I build it so they can. Most send me a request when they need something, and the person who reads it is the person who makes the change. Since 2020, that has added up to more than 2,600 client requests.
It gets easier over time. I come to know your business so well that a short note is enough, and you never have to explain it all over again. I still have clients who have been with me since the beginning.
05
Who I Work Best With
Established owners who want it built properly, by one person who sees the whole picture.
The clients I work best with are established business owners who care deeply about their work and want their website to reflect that. They want someone they can rely on for years.
Most of my work is with independent medical practices: dermatology, ophthalmology, radiology, med spas, functional medicine and a compounding pharmacy. Many of them compete with corporate groups that have marketing departments and big budgets. I’ve rooted for the underdog my whole life, and that’s a big part of why this work matters to me. My job is to help them compete and thrive, so the doctors can focus on practicing medicine.
I’m on my clients’ side, and I want them to win. I won’t work with a practice that competes with one of my clients for the same patients in the same area.
Outside healthcare, I also work with other kinds of businesses when the project and the relationship are the right match.
“As physicians and practice owners, our expertise is in taking care of patients, not navigating the complexities of websites, search algorithms, and digital marketing platforms. Josh allows us to focus on practicing medicine while knowing that an essential component of our business growth is in capable hands.”
Dr. Thomas Shane · Ophthalmologist & Founder, Shane Retina
Long-term clients
Some of the practices I’ve grown with.
Each one started with a website and grew into years of work together.
Working together since 2020
Arsenault Dermatology
How a website keeps pace with a practice that keeps growing.
Read the case study →Working together since 2019
Shane Retina and Venice Retina
What steady SEO, month after month, does for a practice over the years.
Read the case study →Working together since 2024
Florida Radiology Consultants
A website built to recruit doctors and win partners as well as bring in patients.
Read the case study →Working together since 2014
Optimal Health Institute of Ohio
How long a website lasts when it is built well the first time.
Read the case study →
06
Outside the Work
Where I come from, and what shaped how I see people.
I grew up Mennonite, which means hard work and honesty weren’t values I chose, they were the environment I came up in. In my family, anything worth doing was worth doing right.
Sports were part of everyday life, too. I played baseball, basketball and golf, and I still play golf competitively. I bring the same drive to my work.
I have a genuine interest in the psychology of people and design: why people respond to certain layouts, what builds trust on a page, what makes someone stay or leave. That side of the work interests me as much as the visual side, and it shapes everything I build.
Before settling into this work full time, I lived overseas for years. I taught English in South Korea, backpacked through Southeast Asia, worked as an apple picker in New Zealand, and spent an entire summer exhausting a Eurail pass across Europe as a broke college student. I wanted to know what was out there. Time abroad like that changes how you see the world, your place in it, and how you understand your own culture. These experiences continue to inform how I think, and they show up in my work.
These days I’m based in Denver, Colorado, though most of my clients are spread across the country.
Get in touch
If you want someone in your corner for the long run, let’s talk.
Tell me what your business does best and who you want to reach, and we’ll both get a sense of whether we’re the right match.