Individual provider Active NPI

Laura Ann Miner, PA

  • Medical Physician Assistant
  • Batavia, NY
National Provider Identifier
1932155363
Registry record updated Mar 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
005533 Issued in NY
Practice address
7 Evans St
Batavia, NY 14020-3110
Phone
(585) 343-1250
Fax
(585) 343-8394
NPI assigned
May 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 005533 NY Primary
Emergency Medical Services (Emergency Medicine) Physician 207PE0004X 005533-1 NY

Addresses

Primary practice location

7 Evans St
Batavia, NY 14020-3110

Mailing address

7 Evans St
Batavia, NY 14020-3110
Phone (585) 343-1250

Other identifiers 2

IdentifierTypeStateIssuer
02354245MedicaidNY
000570439002OtherNYBC/BS OF WNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
005533-1NYMDMental Health Counselor
005533NYMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Muncie Allergy Center. P.S.C. Past Accepting new patients
FDR Medical Services P.C. Past Accepting new patients
Genesee Valley Group Health Association Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205884800000",
    "number": "1932155363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 EVANS ST",
            "city": "BATAVIA",
            "state": "NY",
            "postal_code": "140203110",
            "telephone_number": "585-343-1250",
            "fax_number": "585-343-8394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 EVANS ST",
            "city": "BATAVIA",
            "state": "NY",
            "postal_code": "140203110",
            "telephone_number": "585-343-1250",
            "fax_number": "585-343-8394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINER",
        "first_name": "LAURA",
        "middle_name": "ANN",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-26",
        "last_updated": "2008-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "005533",
            "primary": true
        },
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "NY",
            "license": "005533-1",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02354245",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF WNY",
            "identifier": "000570439002",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Batavia, NY

Sources for this page

Verify at the official NPI Registry.