Wayne R Miller MD
Organization Active NPI Primary Care Clinic/Center · Shamokin, PA
NPI 1497797195 · NPPES record last updated Oct 29, 2008
Key facts
- NPI
- 1497797195
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Primary Care Clinic/Center 261QP2300X
- License
- MD042431L (PA)
- Legal business name
- WAYNE R MILLER MD
- Practice address
- 255 W Spruce St
Shamokin, PA 17872-5811 - Phone
- (570) 644-5050
- Fax
- (570) 644-2578
- NPI assigned
- Jun 10, 2006
- Organization subpart
- No
Authorized official
- Name
- Dr. Wayne R Miller, MD
- Title
- Owner
- Phone
- (570) 644-5050
Corporate family (same tax ID) 1
National Provider Directory
- Tax ID family
- Miller Family Health Center
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | MD042431L | PA | Yes |
Addresses
Primary practice location
255 W Spruce St
Shamokin, PA 17872-5811
Mailing address
255 W Spruce St
Shamokin, PA 17872-5811
Phone (570) 644-5050
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0012068790005 | Medicaid | PA |
Other names
- miller family health center
Other providers in Shamokin, PA
- Vna Health System
- Vna Health System
- Vna Health System
- Jere L Wagner
- Wayne R Miller MD
- Weis Markets Inc
- Jercora Witherspoon
- Duane Russel Yentsch
All providers in Shamokin, PA · Primary Care Clinic/Center in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 29, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.