Scott C. Miller, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA-60427988 Issued in WA

Practice address

2632 E St Ste H
Washougal, WA 98671-1714

Phone

(360) 818-7500

Fax

(360) 818-7503

NPI assigned

Aug 10, 2007

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Physician Assistant

State licenses

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.

• Miller Family Pediatrics

  • Pediatric Clinical Nurse Specialist
  • Washougal, WA
  • NPI 1780121764
  NPD (past) Authorized official

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

{
    "created_epoch": "1186704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559174400000",
    "number": "1073705315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2632 E ST STE H",
            "city": "WASHOUGAL",
            "state": "WA",
            "postal_code": "986711714",
            "telephone_number": "360-818-7500",
            "fax_number": "360-818-7503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2632 E ST STE H",
            "city": "WASHOUGAL",
            "state": "WA",
            "postal_code": "986711714",
            "telephone_number": "360-818-7500",
            "fax_number": "360-818-7503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "SCOTT",
        "middle_name": "C.",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-10",
        "last_updated": "2019-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "PA-60427988",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WA STATE LICENSE",
            "identifier": "PA-60427988",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amanda Merrill
• Maria P. Meza, CCC-SLP
• Michael a. Dornbusch, DC, PS
• Amanda Marie Michel, LMP
• Miller Family Pediatrics
• Katrina Eileen Moen, FNP
• Kellie Joan Wilcox Moore
• Soncea Rae Moore, L.M.P.
• Jennifer Diane Morales, M.A., LMHC
• Mount Pleasant School District

• Physician Assistant in Washougal, WA
• Providers in Washougal, WA by specialty
• Physician Assistant in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.