Individual provider Active NPI

Ronald Chad Miller, PA

  • Physician Assistant
  • Beckley, WV
National Provider Identifier
1154760551
Registry record updated Jun 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1099489 Issued in WV
Practice address
138 Manor Dr
Beckley, WV 25801-2527
Phone
(304) 923-6762
NPI assigned
Jun 19, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 1099489 WV Primary

Addresses

Primary practice location

138 Manor Dr
Beckley, WV 25801-2527

Mailing address

138 Manor Dr
Beckley, WV 25801-2527
Phone (304) 923-6762

Other practice location 1

520 Beckley Crossing Shpg Ctr
Beckley, WV 25801-7110
Phone (304) 252-6639

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150724012197 WV Practitioner - Physician Assistant 8426361072 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
1099489WVMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Charleston Area Medical Center, Inc. CurrentSince Aug 5, 2021 Accepting new patients
Charleston Area Medical Center Inc CurrentSince Aug 5, 2021 Accepting new patients

Locations

1320 Maplewood Ave
Ronceverte, WV 24970
Phone (304) 645-0870

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1371600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718150400000",
    "number": "1154760551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "138 MANOR DR",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258012527",
            "telephone_number": "304-923-6762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "138 MANOR DR",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258012527",
            "telephone_number": "304-923-6762"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "520 Beckley Crossing Shpg Ctr",
            "address_purpose": "LOCATION",
            "city": "Beckley",
            "state": "WV",
            "postal_code": "258017110",
            "country_code": "US",
            "telephone_number": "304-252-6639",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "RONALD",
        "middle_name": "CHAD",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-19",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WV",
            "license": "1099489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beckley, WV

Sources for this page

Verify at the official NPI Registry.