Gordon Beryl Miller Jr., D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

OS013018 Issued in PA

Practice address

1211 Forge Road
Suite 300
Carlisle, PA 17013

Phone

(717) 218-3920

Fax

(717) 218-3921

NPI assigned

Nov 4, 2005

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

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.

• Spirit Physician Services Inc.

  • Diagnostic Radiology Physician
  • Camp Hill, PA
  • NPI 1275072662
  NPD (past)
• Frederick Health Hospital Inc

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

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

{
    "created_epoch": "1131062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349395200000",
    "number": "1053302232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 GRANDVIEW AVE",
            "address_2": "SUITE 210",
            "city": "CAMP HILL",
            "state": "PA",
            "postal_code": "170111708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 FORGE ROAD",
            "address_2": "SUITE 300",
            "city": "CARLISLE",
            "state": "PA",
            "postal_code": "17013",
            "telephone_number": "717-218-3920",
            "fax_number": "717-218-3921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "GORDON",
        "middle_name": "BERYL",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-04",
        "last_updated": "2012-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS013018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mid Penn Homecare LLC
• Scott T Miekley, D.O.
• Mildin, Inc
• Maureen Jo Miller-Griffie, NP
• Gary Curtis Miller, L.P.N., C.M.A., C.N.
• Madison Leigh Miller
• Sarah Mae Miller, CRNP
• Steven E Miller, P.T.,C.PED.
• Tonya Yvette Miller
• Brianna Marie Mincer, MSW, LSW

• Family Medicine Physician in Carlisle, PA
• Providers in Carlisle, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.