Catherine a. Miller, M.D., P.C.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

210639 Issued in NY

Legal business name

CATHERINE A. MILLER, M.D., P.C.

Doing business as

Perinton Dermatology

Practice address

6800 Pittsford Palmyra Rd
Suite 300
Fairport, NY 14450-3584

Phone

(585) 223-5940

Fax

(585) 223-3153

NPI assigned

Feb 10, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Catherine Ann Miller, M.D.NPI 1487628939

Title

President

Phone

(585) 223-5940

Specialties & licenses 1

Addresses

Other names 1

• Perinton Dermatology Doing business as

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Catherine Ann Miller, M.D.

  • Dermatology Physician
  • Fairport, NY
  • NPI 1487628939
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1202601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202601600000",
    "number": "1962680157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6800 PITTSFORD PALMYRA RD",
            "address_2": "SUITE 300",
            "city": "FAIRPORT",
            "state": "NY",
            "postal_code": "144503584",
            "telephone_number": "585-223-5940",
            "fax_number": "585-223-3153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6800 PITTSFORD PALMYRA RD",
            "address_2": "SUITE 300",
            "city": "FAIRPORT",
            "state": "NY",
            "postal_code": "144503584",
            "telephone_number": "585-223-5940",
            "fax_number": "585-223-3153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CATHERINE A. MILLER, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-10",
        "last_updated": "2008-02-10",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "585-223-5940",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "NY",
            "license": "210639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Perinton Dermatology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Dermatology Physician in Fairport, NY
• Providers in Fairport, NY by specialty
• Dermatology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.