MALLORY L. MILLER (NPI# 1740685858) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740685858 |
| Entity Type | Individual |
| Full Name | MALLORY L. MILLER |
| Other Name | MALLORY LYNN SOWCIK |
| Credential | PA-C |
| Practice Address |
100 Radnor Rd Ste 101 State College PA 16801 |
| Mailing Address |
100 Radnor Rd Ste 101 State College PA 16801-7986 |
| Practice Telephone | 8142317878 |
| Practice Fax Number | 8142371034 |
| Mailing Telephone | 8142317878 |
| Mailing Fax Number | 8142371034 |
| Enumeration Date | 2014-10-31 |
| Last Update Date | 2020-01-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | MA058348 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 100 Radnor Rd Ste 101, State College, PA 168017986 | 8142317878 | 8142371034 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063036655 | Mallory Miller | Nurse Anesthetist, Certified Registered | 1600 7th Ave S, Birmingham, AL 35233-1711 | 2020-05-30 |
| 1629475348 | Mallory Miller | General Acute Care Hospital | 620 Skyline Dr, Jackson, TN 38301-3923 | 2014-11-24 |
| 1912244385 | Mallory Nicole Miller | Physical Therapist | 7170 Carmel Valley Rd, Carmel, CA 93923-9525 | 2013-01-05 |
| Street Address |
100 RADNOR RD STE 101 |
| City | STATE COLLEGE |
| State | PA |
| Zip Code | 16801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851880975 | Creative Reflections Counseling, LLC | Counselor | 315 S Allen St Ste 124b, State College, PA 16801 | 2018-05-03 |
| 1679097901 | Michelle L Grove | Home Health Aide | 2100 E College Ave Ste B, State College, PA 16801 | 2017-07-28 |
| 1740702034 | Matthew Ishler | Counselor | 315 S. Allen Street Ste 326, State College, PA 16801 | 2017-07-09 |
| 1699206300 | Emily Lauer | Specialist/Technologist | 102a Multisport Indoor Facility, State College, PA 16801 | 2017-03-23 |
| 1740721075 | Luk Devorski | Student in an Organized Health Care Education/Training Program | Rec Hall University Park, Penn State University, State College, PA 16801 | 2017-03-20 |
| 1013465764 | Pennsylvania Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 201 West Beaver Avenue, State College, PA 16801 | 2016-09-12 |
| 1386053981 | Christopher Hippenmeyer | Specialist/Technologist | 102a East Area Locker Building, Pennsylvania State University, University Park, PA 16801 | 2014-08-07 |
| 1982022059 | Christy Sharer | Counselor | 301 S Allen St Ste 106, State College, PA 16801 | 2014-04-04 |
| 1912250523 | Eva M Letwin | Counselor | 2011 Cato Ave Ste 201, State College, PA 16801 | 2012-10-19 |
| 1477802080 | Megan A Mignot | Lactation Consultant, Non-RN | 2345 Charleston Dr., State College, PA 16801 | 2012-08-29 |
| Find all providers in zip 16801 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154791903 | Megan Widener | Physician Assistant | 2520 Green Tech Dr., Ste. D, State College, PA 16803 | 2015-10-05 |
| 1114301330 | Phuong Tran Courtney | Physician Assistant | 1613 North Atherton Street, Suite B, State College, PA 16803 | 2015-07-17 |
| 1114100344 | Kimberly Johnson | Physician Assistant | 1850 E Park Ave Ste 103, Cema, Er, State College, PA 16803-6706 | 2007-12-11 |
| 1184778045 | Krista L. Sharer | Physician Assistant | 1630 North Atherton St., State College, PA 17822-5622 | 2007-01-22 |
| 1427077197 | Nathaniel L. Pozniak | Physician Assistant | 1700 Old Gatesburg Rd Ste 200, State College, PA 16803-2276 | 2006-07-19 |
| 1548212970 | Geisinger Clinic | Physician Assistant | 2520 Green Tech Drive, Ste D, State College, PA 16803 | 2006-05-16 |
| 1528019056 | Geisinger Clinic | Physician Assistant | 200 Scenery Drive, State College, PA 16801 | 2006-05-12 |
| 1205824075 | Victoria D Case | Physician Assistant | 2121 Old Gatesburg Rd, Suite 100, State College, PA 16803-2290 | 2005-10-06 |
| 1194725812 | Scott E Butler | Physician Assistant | 1700 Old Gatesburg Rd, Ste 100, State College, PA 16803-2276 | 2005-07-22 |
| 1245875426 | Jennifer L Thomas | Physician Assistant | 905 University Dr, State College, PA 16801-6626 | 2019-11-12 |
| Find all providers in STATE COLLEGE | ||||
| City | STATE COLLEGE |
| Zip Code | 16801 |
Please comment or provide details below to improve the information on MALLORY L. MILLER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.