Active NPI
Alan Michael Miller, M.D.
- Otolaryngology Physician
- Norristown, PA
National Provider Identifier
1932162930
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- MD-013843E
- Practice address
- 306 W Logan St
Norristown, PA 19401-2935 - Phone
- (610) 275-6153
- Fax
- (610) 278-7709
- NPI assigned
- Apr 10, 2006
- Last updated
- Apr 29, 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 |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | MD-013843E | PA | Primary |
Addresses
Primary practice location
306 W Logan St
Norristown, PA 19401-2935
Mailing address
994 Old Eagle School Rd Ste 1017
Wayne, PA 19087-1802
Phone (610) 902-6092
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0006413380001 | Medicaid | PA | |
| 072327 | Other | HIGHMARK BLUE SHIELD | |
| 78665 | Other | UNITED HEALTHCARE | |
| 0045517000 | Other | INDEPENDENCE BLUE CROSS | |
| 4088055 | Other | AETNA | |
| 1817536 | Other | CIGNA |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD-013843E | PA | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pinnacle ENT Alliance of New Jersey LLC | Past | Accepting new patients | |
| Audiologic Diagnostic Center | Past | Accepting new patients |
Interoperability endpoints
- alan.miller@penta.eclinicaldirectplus.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144627200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1209427200000",
"number": "1932162930",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "994 OLD EAGLE SCHOOL RD STE 1017",
"city": "WAYNE",
"state": "PA",
"postal_code": "190871802",
"telephone_number": "610-902-6092",
"fax_number": "610-902-6081"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "306 W LOGAN ST",
"city": "NORRISTOWN",
"state": "PA",
"postal_code": "194012935",
"telephone_number": "610-275-6153",
"fax_number": "610-278-7709"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "ALAN",
"middle_name": "MICHAEL",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-10",
"last_updated": "2008-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "PA",
"license": "MD-013843E",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0006413380001",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BLUE SHIELD",
"identifier": "072327",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "78665",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDEPENDENCE BLUE CROSS",
"identifier": "0045517000",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4088055",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "1817536",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Norristown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.