Active NPI
Joel P Miller DO PC
- Cardiovascular Disease Physician
- Philadelphia, PA
National Provider Identifier
1093755829
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- OS003385L
- Legal business name
- JOEL P MILLER DO PC
- Practice address
- 3998 Red Lion Rd
Suite 209
Philadelphia, PA 19114-1436 - Phone
- (215) 824-2859
- Fax
- (215) 824-3963
- NPI assigned
- Jun 8, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jody L Orr
- Title
- Business Manager
- Phone
- (215) 824-3913
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | OS003385L | PA | Primary |
Addresses
Primary practice location
3998 Red Lion Rd
Suite 209
Philadelphia, PA 19114-1436
Mailing address
3998 Red Lion Rd
Suite 209
Philadelphia, PA 19114-1436
Phone (215) 824-2859
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0018212320001 | Medicaid | PA | |
| 0286989000 | Other | PA | KEYSTONE HMO GROUP NUMBER |
| 091359 | Other | PA | BLUE SHIELD GROUP NUMBER |
| 1001272 | Other | PA | KEYSTONE MERCY GROUP NUMB |
| 30571 | Other | PA | HEALTH PARTNERS |
| 30571 | Other | PA | SENIOR PARTNERS |
National Provider Directory
National Provider DirectoryLocations
3998 Red Lion Rd
Ste 207
Philadelphia, PA 19114
Phone (215) 824-2859
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Cardiovascular Disease Physician
- Wyomissing, PA
- NPI 1285626226
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149724800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1283299200000",
"number": "1093755829",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3998 RED LION RD",
"address_2": "SUITE 209",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191141436",
"telephone_number": "215-824-2859",
"fax_number": "215-824-3963"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3998 RED LION RD",
"address_2": "SUITE 209",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191141436",
"telephone_number": "215-824-2859",
"fax_number": "215-824-3963"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOEL P MILLER DO PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-08",
"last_updated": "2010-09-01",
"status": "A",
"authorized_official_last_name": "ORR",
"authorized_official_first_name": "JODY",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "BUSINESS MANAGER",
"authorized_official_telephone_number": "215-824-3913"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "PA",
"license": "OS003385L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0018212320001",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KEYSTONE HMO GROUP NUMBER",
"identifier": "0286989000",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD GROUP NUMBER",
"identifier": "091359",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KEYSTONE MERCY GROUP NUMB",
"identifier": "1001272",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH PARTNERS",
"identifier": "30571",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SENIOR PARTNERS",
"identifier": "30571",
"state": "PA"
}
],
"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 Sep 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.