Russell Miller MD Family Practice PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

RUSSELL MILLER MD FAMILY PRACTICE PC

Practice address

121 Beech Avenue
Patton, PA 16668-1017

Phone

(814) 674-5225

Fax

(814) 674-2338

NPI assigned

Aug 6, 2007

Last updated

Aug 6, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Russell Paul Miller, MDNPI 1174522270

Title

President

Phone

(814) 674-5225

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Russell Paul Miller, M.D.

  • Family Medicine Physician
  • Patton, PA
  • NPI 1174522270
  Medicare reassignment NPD Authorized official
• Megan Melissa Roberts, PA-C

  • Medical Physician Assistant
  • Patton, PA
  • NPI 1043573298
  Medicare reassignment

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

{
    "created_epoch": "1186358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186358400000",
    "number": "1932390895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 BEECH AVENUE",
            "city": "PATTON",
            "state": "PA",
            "postal_code": "166681017",
            "telephone_number": "814-674-5225",
            "fax_number": "814-674-2338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 BEECH AVENUE",
            "city": "PATTON",
            "state": "PA",
            "postal_code": "166681017",
            "telephone_number": "814-674-5225",
            "fax_number": "814-674-2338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUSSELL MILLER MD FAMILY PRACTICE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-06",
        "last_updated": "2007-08-06",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "814-674-5225",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patton Area Ambulance Assn.
• Patton Rehabilitation Associates Inc
• Maura Risbon
• Megan Melissa Roberts, PA-C
• RP-PRN Inc (patton pharmacy and v&s variety)
• Rxvip PA LLC
• Rxvip PA LLC
• Lindsy Sammarco
• Jennifer Stich
• Renae A Stoskey, PTA

• Family Medicine Physician in Patton, PA
• Providers in Patton, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.