Jamie Miller

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

017989 Issued in NY

Practice address

18969 US Route 11
Watertown, NY 13601-6329

Phone

(315) 782-4391

Fax

(315) 782-4387

NPI assigned

Sep 19, 2014

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Interoperability endpoints

• Direct secure messaging: jrichards@panoramapeds.medentdirect.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Panorama Pediatric Group, RLLP

  • Pediatrics Physician
  • Rochester, NY
  • NPI 1528146453
  NPD (past)
• Pediatric Associates of Watertown P.C.

  • Pediatrics Physician
  • Watertown, NY
  • NPI 1497855670
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1411084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459728000000",
    "number": "1013319136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6600",
            "address_2": "18969 US ROUTE 11",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "136016600",
            "telephone_number": "315-782-4391",
            "fax_number": "315-782-4387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18969 US ROUTE 11",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "136016329",
            "telephone_number": "315-782-4391",
            "fax_number": "315-782-4387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "JAMIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-19",
        "last_updated": "2016-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "017989",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nathanial R Miletta, M.D.
• Kathy Moore Millard, RN
• Angela Joy Miller, PMHNP-BC
• Diane Elaine Miller, P.T,
• Florica Tudoran Miller, DDS
• Jeffrey Miller, PHARMD
• Shaelynn Marie Miller, LPN
• Kelly Mills
• Marcy B Mills, NP
• Walter August Minaert Jr., MD

• Physician Assistant in Watertown, NY
• Providers in Watertown, NY by specialty
• Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.