Active NPI
Cynthia L Miller, MD
- Diagnostic Radiology Physician
- Philadelphia, PA
National Provider Identifier
1922041516
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- MD024019E
- Practice address
- 2301 S Broad St
2ND Floor
Philadelphia, PA 19148-3542 - Phone
- (215) 952-9148
- Fax
- (215) 952-9965
- NPI assigned
- Jun 13, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | MD024019E | PA | Primary |
Addresses
Primary practice location
2301 S Broad St
2ND Floor
Philadelphia, PA 19148-3542
Mailing address
2301 S Broad St
2ND Floor
Philadelphia, PA 19148-3542
Phone (215) 952-9148
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
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Main Line Health Imaging LP | Diagnostic Radiology | Past | Accepting new patients |
| Radiology Associates of the Main Line P C | Diagnostic Radiology | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Diagnostic Radiology Physician
- Wynnewood, PA
- NPI 1477504264
-
- Diagnostic Radiology Physician
- Paoli, PA
- NPI 1750332003
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1314057600000",
"number": "1922041516",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2301 S BROAD ST",
"address_2": "2ND FLOOR",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191483542",
"telephone_number": "215-952-9148",
"fax_number": "215-952-9965"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2301 S BROAD ST",
"address_2": "2ND FLOOR",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191483542",
"telephone_number": "215-952-9148",
"fax_number": "215-952-9965"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "CYNTHIA",
"middle_name": "L",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-13",
"last_updated": "2011-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "PA",
"license": "MD024019E",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.