Stephen Wayne Miller, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA-042 Issued in ME

Practice address

50 Sewall St
Suite 301
Portland, ME 04102-2645

Phone

(207) 780-6631

Fax

(207) 780-6320

NPI assigned

Mar 20, 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1273449600000",
    "number": "1124143359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 HIDDEN CREEK DR",
            "city": "SCARBOROUGH",
            "state": "ME",
            "postal_code": "040748451",
            "telephone_number": "207-885-5807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 SEWALL ST",
            "address_2": "SUITE 301",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041022645",
            "telephone_number": "207-780-6631",
            "fax_number": "207-780-6320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "STEPHEN",
        "middle_name": "WAYNE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-20",
        "last_updated": "2010-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "ME",
            "license": "PA-042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joel P Miller, PA-C
• Kirsten Miller, DMD
• Lynn Miller, PT
• Nancy Fay Miller, PH.D.
• Rebecca Miller, RN
• Susan Miller, MD
• Thomas G Miller, PH.D.
• Monique Millette
• Andrea Kathryn Millhouse, OT
• Ian James Milligan, MD

• Medical Physician Assistant in Portland, ME
• Providers in Portland, ME by specialty
• Medical Physician Assistant in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 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.