Ronald K. Miller, RPA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

002767-1 Issued in NY

Practice address

21 N Main St
Middleport, NY 14105-1027

Phone

(716) 735-7774

Fax

(716) 735-3036

NPI assigned

Sep 26, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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

Enrolled in NY

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Interoperability endpoints

• Direct secure messaging: rmillerpa@wnycmc.medentdirect.com

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1407957194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 N MAIN ST",
            "city": "MIDDLEPORT",
            "state": "NY",
            "postal_code": "141051040",
            "telephone_number": "716-735-3735",
            "fax_number": "716-735-3036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 N MAIN ST",
            "city": "MIDDLEPORT",
            "state": "NY",
            "postal_code": "141051027",
            "telephone_number": "716-735-7774",
            "fax_number": "716-735-3036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "RONALD",
        "middle_name": "K.",
        "name_prefix": "Mr.",
        "credential": "RPA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "002767-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Anne Iversen, P.A.
• Jamal Hussain DPT, P C
• Rebecca Lynn Klos, LPN
• Lindsey Landi, PHARMD
• Ryan Lindenau, PHARM D
• Moden Giroux Inc (Middleport Family Health Center)
• Moden-Giroux Inc (Middleport Family Health Center)
• Quyen Nguyen
• Merin Varughese Panthapattu, PHARM.D
• Todd Parlato, DDS

• Medical Physician Assistant in Middleport, NY
• Providers in Middleport, NY by specialty
• Medical Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.