Jane Lenore Miclay, PA-C

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

C0003683 Issued in MD

Practice address

203 Hospital Dr
Suite B100
Glen Burnie, MD 21061-6904

Phone

(410) 553-8351

Fax

(410) 553-8352

NPI assigned

Jul 2, 2008

Last updated

Nov 9, 2009By the provider in NPPES

Sex

Female

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)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Baltimore Washington Professional Services Inc.

  dba The Aiello Breast Center

  • Surgery Physician
  • Glen Burnie, MD
  • NPI 1710071725
  NPD (past)
• Frederick Health Hospital Inc

  dba Frederick Health Hospital

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

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

{
    "created_epoch": "1214956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257724800000",
    "number": "1124281951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 HOSPITAL DR",
            "address_2": "SUITE B100",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210616904",
            "telephone_number": "410-553-8351",
            "fax_number": "410-553-8352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 HOSPITAL DR",
            "address_2": "SUITE B100",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210616904",
            "telephone_number": "410-553-8351",
            "fax_number": "410-553-8352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICLAY",
        "first_name": "JANE",
        "middle_name": "LENORE",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-02",
        "last_updated": "2009-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "MD",
            "license": "C0003683",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "406923400",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tessa Ariel Merrill, AU.D.
• Morgan Merryman, CRNA
• Michael B. Herr, M.D., P.a.
• Bishoy Emeel Michael, MD
• Meredith Ann Michael, R.N.
• Mid Atlantic Spine & Orthopaedics, LLC
• Mid-Atlantic Nephrology Associates PA
• Angela Miliman, CRNP-F
• Brooke Milleker
• Danielle Miller, LGPC

• Surgical Physician Assistant in Glen Burnie, MD
• Providers in Glen Burnie, MD by specialty
• Surgical Physician Assistant in Maryland

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