MR. RUSSELL J MILLER PA C NPI 1780646158

NPI Information

NPI: 1780646158
Provider Name: MR. RUSSELL J MILLER, PA C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Address:
1468 TREVORTON RD
COAL TOWNSHIP, PA
ZIP 17866
Phone: (570) 648-9769
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MR. Russell J Miller, PA C is a medical physician assistant in Coal Township, PA. MR. Russell J Miller, PA C NPI is 1780646158. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1468 TREVORTON RD
COAL TOWNSHIP, PA
ZIP 17866-725
Phone: (570) 648-9769
Fax: (717) 692-2381

The enumeration date for this NPI number is 4/3/2006 and was last updated on 6/30/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	MA 001072 L	PENNSYLVANIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	MA 001072 L	OTHER	PENNSYLVANIA	STATE LICENSE #
2	R05803	MEDICARE UPIN	PENNSYLVANIA
3	043345	MEDICARE PIN	PENNSYLVANIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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