Gerald E Miller, M.D.
Individual provider Active NPI Family Medicine Physician · Marietta, PA
NPI 1962488916 · NPPES record last updated Oct 29, 2007
Key facts
- NPI
- 1962488916
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- MD019845E (PA)
- Practice address
- 1159 River Rd
Marietta, PA 17547-1628 - Phone
- (717) 426-1131
- Fax
- (717) 426-2068
- NPI assigned
- Dec 21, 2005
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD019845E | PA | Yes |
Addresses
Primary practice location
1159 River Rd
Marietta, PA 17547-1628
Mailing address
1159 River Rd
Marietta, PA 17547-1628
Phone (717) 426-1131
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 007751 | Other | PA | HIGHMARK BLUE SHIELD |
| P002638 | Other | PA | GATEWAY HEALTH PLAN |
| 34994 S1QK | Other | PA | GEISINGER HEALTH PLAN |
| 5502498 | Other | PA | AETNA NON-HMO |
| 0006954000001 | Medicaid | PA | |
| 01332001 | Other | PA | CAPITAL BLUE CROSS |
| 535943 | Other | PA | AETNA HMO |
| C30214 | Other | PA | HEALTH ASSURANCE |
Other providers in Marietta, PA
- Lancaster General Medical Group
- Joseph A Lavine
- Nelson R Lehman
- Matthew May
- Andrew Michael Miller
- Tiffanie Monchik
- Parag Patel
- Peace Is Possible, LLC
- Stephen K Rittenhouse
- Maria Rosas
All providers in Marietta, PA · Family Medicine Physician in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 29, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.