Active NPIIndividual provider

Jonathan Miller, PA

Physician Assistant in Providence, Rhode Island

NPI Number1518450477
Practice location
164 Summit Ave, Providence, RI 02906-2853
Fax
—
Last updated
May 26, 2022

Jonathan Miller is a Physician Assistant based in Providence, RI. Jonathan Miller practices in Providence, RI and has the professional credentials of PA. The NPI Number for Jonathan Miller is 1518450477 and holds a License No. PA01059 (RI). The current practice location address for Jonathan Miller is 164 Summit Ave, Providence, RI 02906-2853 and can be reached out via phone at 401-793-4480.

Provider Profile Details

NPI Number
1518450477
Provider Name
Jonathan Miller
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
164 Summit Ave, Providence, RI 02906-2853
Phone Number
401-793-4480
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Provider Enumeration Date
June 14, 2018
Last Update Date
May 26, 2022
Certification Date
May 26, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
164 Summit Ave
Providence, RI 02906-2853
Zip
02906-2853
Phone Number
401-793-4480
Providence, RI 02906Get directions →

Provider Business Mailing Address Details

Address
125 Metro Center Blvd Ste 2000
Warwick, RI 02886-1785
City
Warwick
State
RI
Zip
02886-1785
Phone Number
401-432-2500
Fax Number
401-921-9212

License Information

Taxonomy (1)
Physician Assistant, Surgical · 363AS0400X
License Number (2)
PA01059
License State (2)
RI
Taxonomy (2)
Physician Assistant · 363A00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Jonathan Miller, PA?

The NPI number of Jonathan Miller, PA is 1518450477. It was assigned on June 14, 2018 and is currently active in the NPPES registry.

What is the specialty of Jonathan Miller, PA?

Jonathan Miller, PA is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in RI under license number PA01059.

Where does Jonathan Miller, PA practice?

The practice location is 164 Summit Ave, Providence, RI 02906-2853. The office can be reached at 401-793-4480 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1518450477 directly on the NPPES registry website.

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