Organization Active NPI

Joel P Miller DO PC

  • Cardiovascular Disease Physician
  • Philadelphia, PA
National Provider Identifier
1093755829
Registry record updated Sep 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
OS003385L Issued in PA
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

Updated by the provider on Sep 1, 2010

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)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
0018212320001MedicaidPA
0286989000OtherPAKEYSTONE HMO GROUP NUMBER
091359OtherPABLUE SHIELD GROUP NUMBER
1001272OtherPAKEYSTONE MERCY GROUP NUMB
30571OtherPAHEALTH PARTNERS
30571OtherPASENIOR PARTNERS

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.