Active NPI
Crescent D Miller, PA
- Physician Assistant
- Huntingdon, PA
National Provider Identifier
1750352506
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 900 Bryan St Ste 7
Huntingdon, PA 16652-2413 - Phone
- (814) 643-8600
- NPI assigned
- Jan 30, 2006
- Last updated
- Sep 28, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 009018-1 | NY | |
| Physician Assistant | 363A00000X | PA | Primary |
Addresses
Primary practice location
900 Bryan St Ste 7
Huntingdon, PA 16652-2413
Mailing address
1225 Warm Springs Ave
Huntingdon, PA 16652-2350
Phone (814) 643-1141
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 |
|---|---|---|---|
| 009018-1 | NY | MD | Occupational Therapy Assistant |
| 009018 | NY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138579200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1601251200000",
"number": "1750352506",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1225 WARM SPRINGS AVE",
"city": "HUNTINGDON",
"state": "PA",
"postal_code": "166522350",
"telephone_number": "814-643-1141",
"fax_number": "814-643-9451"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 BRYAN ST STE 7",
"city": "HUNTINGDON",
"state": "PA",
"postal_code": "166522413",
"telephone_number": "814-643-8600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "CRESCENT",
"middle_name": "D",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-30",
"last_updated": "2020-09-28",
"certification_date": "2020-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "009018-1",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "PA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Huntingdon, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.