Individual provider Active NPI

Richard Kermit Miller I, PH.D.

  • Clinical Pathology/Laboratory Medicine Physician
  • Rochester, NY
National Provider Identifier
1629098306
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Pathology/Laboratory Medicine PhysicianTaxonomy code 207ZP0105X
License
MILLR2 Issued in NY
Practice address
601 Elmwood Ave
Room 5-7550 University of Rochester Medical Center
Rochester, NY 14642-8668
Phone
(585) 275-2520
NPI assigned
Jul 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Pathology/Laboratory Medicine Physician 207ZP0105X MILLR2 NY Primary

Addresses

Primary practice location

601 Elmwood Ave
Room 5-7550 University of Rochester Medical Center
Rochester, NY 14642-8668

Mailing address

601 Elmwood Ave
Room 5-7550 University of Rochester Medical Center
Rochester, NY 14642-8668
Phone (585) 275-2520

Other identifiers 2

IdentifierTypeStateIssuer
207ZP0105XOtherNYCLINICAL LAB DIRECTOR
2083T0002XOtherNYMEDICAL TOXICOLOGIST

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)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
MILLR2NYMDClinical Pathology/Laboratory Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1629098306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 ELMWOOD AVE",
            "address_2": "ROOM 5-7550 UNIVERSITY OF ROCHESTER MEDICAL CENTER",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146428668",
            "telephone_number": "585-275-2520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 ELMWOOD AVE",
            "address_2": "ROOM 5-7550 UNIVERSITY OF ROCHESTER MEDICAL CENTER",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146428668",
            "telephone_number": "585-275-2520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "RICHARD",
        "middle_name": "KERMIT",
        "name_prefix": "Prof.",
        "name_suffix": "I",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0105X",
            "taxonomy_group": "",
            "desc": "Pathology, Clinical Pathology/Laboratory Medicine",
            "state": "NY",
            "license": "MILLR2",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLINICAL LAB DIRECTOR",
            "identifier": "207ZP0105X",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL TOXICOLOGIST",
            "identifier": "2083T0002X",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

  • 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.