Individual provider Active NPI

Thomas James Miller, DPM

  • Podiatrist
  • Clarion, PA
National Provider Identifier
1194725622
Registry record updated Jun 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
SC001273L Issued in PA
Practice address
Kaufman Building
Sixth Ave
Clarion, PA 16214-0566
Phone
(814) 226-7155
Fax
(814) 226-0754
NPI assigned
Jul 27, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X SC001273L PA Primary
Foot & Ankle Surgery Podiatrist 213ES0103X SC001273L PA

Addresses

Primary practice location

Kaufman Building
Sixth Ave
Clarion, PA 16214-0566

Mailing address

24 Doctors LN
Clarion, PA 16214-8514
Phone (814) 226-7155

Other identifiers 1

IdentifierTypeStateIssuer
0005004560001MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SC001273LPAMDFoot & Ankle Surgery Podiatrist
69WYMDHearing Instrument Specialist

Interoperability endpoints

  • Direct secure messaging: miller_thomas@yourcarecommunity.org
  • FHIR API: https://fhir4.healow.com/fhir/r4/FHFEAA

NPI Registry JSON

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

{
    "created_epoch": "1122422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276560000000",
    "number": "1194725622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 DOCTORS LN",
            "city": "CLARION",
            "state": "PA",
            "postal_code": "162148514",
            "telephone_number": "814-226-7155",
            "fax_number": "814-226-0754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "KAUFMAN BUILDING",
            "address_2": "SIXTH AVE",
            "city": "CLARION",
            "state": "PA",
            "postal_code": "162140566",
            "telephone_number": "814-226-7155",
            "fax_number": "814-226-0754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "THOMAS",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-27",
        "last_updated": "2010-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "PA",
            "license": "SC001273L",
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "PA",
            "license": "SC001273L",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0005004560001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarion, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 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.