Individual provider Active NPI

Philip Attilio Miller, D.O.

  • Family Medicine Physician
  • State College, PA
National Provider Identifier
1336387828
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS014378 Issued in PA
Practice address
2520 Green Tech Dr Ste C
State College, PA 16803-2300
Phone
(814) 278-4898
Fax
(814) 231-2004
NPI assigned
Jan 22, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neuromusculoskeletal Medicine & OMM Physician 204D00000X OS014378 PA
Family Medicine Physician 207Q00000X OS014378 PA Primary

Addresses

Primary practice location

2520 Green Tech Dr Ste C
State College, PA 16803-2300

Mailing address

1061 N Front St
Philipsburg, PA 16866-8257
Phone (814) 376-6200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120911000426 PA Practitioner - Family PracticePractitioner - Osteopathic Manipulative MedicinePractitioner - Other (Physician) 6204084585 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Osteopathic Manipulative Medicine
Education
Lake Erie College of Osteopathic Medicine, Erie, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mount Nittany Medical Center Health Services IncGroup PAC ID 8426136797, 366 clinicians

Practice addresses (Care Compare)

3631 Penns Valley Rd
Spring Mills, PA 16875-8011
Phone (814) 422-8873

Hospital & facility affiliations

  • Mount Nittany Medical Center Hospital, State College, PA, CCN 390268

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Mount Nittany Medical Center Health Services Inc Family Medicine CurrentSince Jan 9, 2017 Accepting new patients
Mount Nittany Medical Center Health Services Inc PastSince Jul 24, 2022 Accepting new patients

Locations

141 Medical Park Ln
Bellefonte, PA 16823
Phone (814) 355-7322

1061 N Front St
Philipsburg, PA 16866
Phone (814) 376-6200

3631 Penns Valley Rd
Spring Mills, PA 16875
Phone (814) 231-7100

164 Greenview Dr
Ste 485
State College, PA 16803
Phone (814) 278-4898

2520 Green Tech Dr
Ste C
State College, PA 16803
Phone (814) 278-4898

1850 E Park Ave
Ste 201
State College, PA 16803
Phone (814) 234-8800

155 Wellness Way
State College, PA 16803
Phone (800) 367-0179

1700 Old Gatesburg Rd
Ste 310
State College, PA 16803
Phone (814) 237-3122

2051 S Atherton St
State College, PA 16801
Phone (844) 278-4600

Organizations & group practices 2

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1232582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1336387828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1061 N FRONT ST",
            "city": "PHILIPSBURG",
            "state": "PA",
            "postal_code": "168668257",
            "telephone_number": "814-376-6200",
            "fax_number": "814-376-6215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2520 GREEN TECH DR STE C",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168032300",
            "telephone_number": "814-278-4898",
            "fax_number": "814-231-2004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "PHILIP",
        "middle_name": "ATTILIO",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-01-22",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "PA",
            "license": "OS014378",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS014378",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in State College, PA

Sources for this page

Verify at the official NPI Registry.