Wayne R Miller MD

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

License

MD042431L Issued in PA

Legal business name

WAYNE R MILLER MD

Practice address

255 W Spruce St
Shamokin, PA 17872-5811

Phone

(570) 644-5050

Fax

(570) 644-2378

NPI assigned

Jan 2, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Wayne R Miller, MD

Title

Owner

Phone

(570) 644-5050

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Miller Family Health Center Doing business as

Tax ID family

Miller Family Health Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Wayne R Miller MD

  • Primary Care Clinic/Center
  • Shamokin, PA
  • NPI 1497797195
  NPD tax ID

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231459200000",
    "number": "1093872038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 W SPRUCE ST",
            "city": "SHAMOKIN",
            "state": "PA",
            "postal_code": "178725811",
            "telephone_number": "570-644-5050",
            "fax_number": "570-644-2378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 W SPRUCE ST",
            "city": "SHAMOKIN",
            "state": "PA",
            "postal_code": "178725811",
            "telephone_number": "570-644-5050",
            "fax_number": "570-644-2378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAYNE R MILLER MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-02",
        "last_updated": "2009-01-09",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "570-644-5050",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "PA",
            "license": "MD042431L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0015644200005",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Miller Family Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Vna Health System
• Vna Health System
• Vna Health System
• Vna Health System
• Jere L Wagner, MD
• Wayne R Miller MD
• Weis Markets Inc
• Jercora Witherspoon, PTA
• Duane Russel Yentsch, RPH

• All providers in Shamokin, PA
• Rural Health Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2009; 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.