Active NPI
Francis Jerome Miller, PA
- Physician Assistant
- Tucson, AZ
National Provider Identifier
1619112885
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA60055313
- Practice address
- 6320 N la Cholla Blvd Ste 200
Tucson, AZ 85741-3549 - Phone
- (520) 382-8200
- Fax
- (520) 297-3505
- NPI assigned
- Dec 2, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA60055313 | WA | Primary |
Addresses
Primary practice location
6320 N la Cholla Blvd Ste 200
Tucson, AZ 85741-3549
Mailing address
PO Box 31630
Tucson, AZ 85751-1630
Phone (520) 382-8200
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 270267 | Medicaid | AZ | |
| 0260983 | Other | WA | L & I |
| 0260492 | Other | WA | L & I |
Other names 1
- Mr. F. Jerome Miller
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
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA60055313 | WA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tucson Orthopaedic Institute Professional Corporation | Physician Assistant | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Orthopaedic Surgery Physician
- Tucson, AZ
- NPI 1437193265
Physician Assistant
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1228176000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1522972800000",
"number": "1619112885",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 31630",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857511630",
"telephone_number": "520-382-8200",
"fax_number": "520-297-3505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6320 N LA CHOLLA BLVD STE 200",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857413549",
"telephone_number": "520-382-8200",
"fax_number": "520-297-3505"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "FRANCIS",
"middle_name": "JEROME",
"name_prefix": "Mr.",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-12-02",
"last_updated": "2018-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "WA",
"license": "PA60055313",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "270267",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "L & I",
"identifier": "0260983",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "L & I",
"identifier": "0260492",
"state": "WA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "F.",
"last_name": "MILLER",
"middle_name": "JEROME",
"prefix": "MR.",
"credential": "PA",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.