Sheryl R Miller MD PLLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

SHERYL R MILLER MD PLLC

Practice address

214 Mohawk Ave
Scotia, NY 12302-2129

Phone

(877) 258-6331

Fax

(518) 377-0415

NPI assigned

Feb 21, 2020

Organization subpart

No

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

Authorized official

Name

Sheryl Miller, MDNPI 1003999491

Title

Owner

Phone

(718) 362-1411

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 4

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

• Sheryl R Miller, MD

  • Dermatology Physician
  • Latham, NY
  • NPI 1003999491
  Medicare reassignment NPD Authorized official
• Jeffrey Marshall Backer, D.D.S.

  • General Practice Dentistry
  • Scotia, NY
  • NPI 1558444117
  NPD (past)
• Cara Hernas, DMD

  • Dentist
  • Schenectady, NY
  • NPI 1245426659
  NPD (past)
• Gregory Morra, DDS

  • General Practice Dentistry
  • Scotia, NY
  • NPI 1205910957
  NPD (past)

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

{
    "created_epoch": "1582243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582243200000",
    "number": "1972136513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "612 CORPORATE WAY STE 2M",
            "city": "VALLEY COTTAGE",
            "state": "NY",
            "postal_code": "109892027",
            "telephone_number": "718-732-3634",
            "fax_number": "718-414-1651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 MOHAWK AVE",
            "city": "SCOTIA",
            "state": "NY",
            "postal_code": "123022129",
            "telephone_number": "877-258-6331",
            "fax_number": "518-377-0415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHERYL R MILLER MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-21",
        "last_updated": "2020-02-21",
        "certification_date": "2020-02-21",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "SHERYL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-362-1411",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John C. Schummer, DDS
• Amy Catherine Schuring-Disarro, LMSW
• Scotia-Glenville Central Schools
• Nicole Shea
• Patrick Sheehan, MHC
• Kristel Marie Sidlauskas, PHARMD
• Aaron Simon, OTR/L
• Roger Guy Singer, D.C.
• Diane Skibinski, SLP
• Philip Allen Smith, P.A.-C

• Dermatology Physician in Scotia, NY
• Providers in Scotia, 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 21, 2020; 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.