Active NPI
Karen K Miura, MD
- Psychiatry Physician
- Philadelphia, PA
National Provider Identifier
1043233414
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- MD014479E
- Practice address
- 1810 Rittenhouse SQ
Suite 1801
Philadelphia, PA 19103-5837 - Phone
- (215) 735-1716
- Fax
- (215) 731-1466
- NPI assigned
- Jul 25, 2006
- Last updated
- Jul 9, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | MD014479E | PA | Primary |
Addresses
Primary practice location
1810 Rittenhouse SQ
Suite 1801
Philadelphia, PA 19103-5837
Mailing address
1810 S. Rittenhouse Square
Suite 1801
Philadelphia, PA 19103-5827
Phone (215) 735-1716
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1043233414",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1810 S. RITTENHOUSE SQUARE",
"address_2": "SUITE 1801",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191035827",
"telephone_number": "215-735-1716",
"fax_number": "215-731-1466"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1810 RITTENHOUSE SQ",
"address_2": "SUITE 1801",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191035837",
"telephone_number": "215-735-1716",
"fax_number": "215-731-1466"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIURA",
"first_name": "KAREN",
"middle_name": "K",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-25",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "PA",
"license": "MD014479E",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.