MR. RUSSELL J MILLER (NPI# 1780646158) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780646158 |
| Entity Type | Individual |
| Full Name | MR. RUSSELL J MILLER |
| Credential | PA C |
| Practice Address |
1468 Trevorton Rd Coal Township PA 17866-7725 |
| Practice Telephone | 5706489769 |
| Practice Fax Number | 7176922381 |
| Enumeration Date | 2006-04-03 |
| Last Update Date | 2016-06-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
MA 001072 L | PA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | STATE LICENSE # | MA 001072 L | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164740411 | Russell D. Miller | General Practice | 7160 Seawind Dr, Long Beach, CA 90803-4316 | 2010-05-12 |
| 1306171541 | Russell Thomas Miller | Physical Therapist | 2024 Olde Regent Way Ste 130, Leland, NC 28451-4250 | 2009-10-06 |
| 1184886426 | Russell J Miller | Social Worker | 8415 Goodwood Blvd Ste 200, Baton Rouge, LA 70806 | 2008-06-27 |
| 1982759429 | Russell Stephen Miller | Dentist | 1815 Clinten Ave South, Suite 640, Rochester, NY 14618 | 2007-01-24 |
| 1225130156 | Russell Paul Miller | Internal Medicine | 5900 Coyle Ave #a, Carmichael, CA 95608-0429 | 2006-09-01 |
| 1689688723 | Russell Loyd Miller Jr. | Internal Medicine | 1605 N Portal Dr Nw, Washington, DC 20012-1012 | 2006-07-27 |
| 1649236803 | Russell A Miller | Pediatrics | 1900c Garfield Ave, Parkersburg, WV 26101-2525 | 2006-04-25 |
| 1730141375 | Russell M Miller | Optometrist | 10 Diagonal St, Suite 101, St George, UT 84770-2878 | 2006-04-06 |
| 1730167537 | Russell W Miller | Counselor | 2755 State Road Tt, New Bloomfield, MO 65063-1642 | 2006-01-03 |
| 1174522270 | Russell Paul Miller | Family Medicine | 121 Beech Ave, Patton, PA 16668-1017 | 2005-07-20 |
| Street Address |
1468 TREVORTON RD |
| City | COAL TOWNSHIP |
| State | PA |
| Zip Code | 17866-7725 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285248955 | Derek Hunt | Pharmacist | 9300 Route 61 S, Coal Township, PA 17866 | 2020-09-01 |
| 1609358456 | Gaudenzia Inc | Clinic/Center | 500 Northumberland, Coal Township, PA 17866 | 2018-08-29 |
| 1639409105 | Merakey Pennsylvania | Case Management | 3800 State Road Route 61, Coal Township, PA 17866 | 2010-01-06 |
| 1265607097 | Francis T Oneill Jr. | Pharmacist | 3300 Rt 61 South, Coal Township, PA 17866 | 2008-04-23 |
| 1962677799 | Jill Marie Bordell | Pharmacist | 3300 Route 61 South, Coal Township, PA 17866 | 2008-04-23 |
| 1962585414 | Michael A. Scicchitano | Emergency Medicine | 1600 Hospital Road, Shamokin Area Community Hospital, Coal Township, PA 17866 | 2006-10-20 |
| 1447246418 | Fairview Fire Co 1 | Ambulance | 1101 W Pine St, Coal Twp, PA 17866 | 2005-09-23 |
| 1205833787 | M Nayeem Akhtar | Internal Medicine | 4200 Hospital Rd., Coal Township, PA 17866 | 2005-06-30 |
| 1104209147 | Vishnu Teja Kommineni | Hospitalist | 4200 Hospital Rd, Rm 396, Coal Township, PA 17866 | 2015-07-08 |
| 1942476296 | Jennifer B Klinger | Pharmacist | 3300 Route 61 South, Coal Township, PA 17866 | 2008-05-07 |
| Find all providers in zip 17866 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730424755 | Brittany Eve Meyer | Physician Assistant | 4203 Hospital Rd, Coal Township, PA 17866-9668 | 2012-12-03 |
| 1083688337 | Diane D Wood | Physician Assistant | 4200 Hospital Rd, Coal Township, PA 17866-9668 | 2006-02-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497355341 | Julia Majewicz Wilson | Physician Assistant | 111 Pa-715, #102, Brodheadsville, PA 18322 | 2020-10-29 |
| 1417557273 | Jared Michael Yon | Physician Assistant | 902 Dale Ave, Bradfordwoods, PA 15015-1236 | 2020-10-29 |
| 1295335230 | Jillian Ann Korgeski | Physician Assistant | 400 Corner St, Dunmore, PA 18512-2348 | 2020-10-29 |
| 1821697376 | Sidney Patel | Physician Assistant | 1834 Oregon Pike Ste 20, Lancaster, PA 17601-6463 | 2020-10-25 |
| 1629677356 | Jason Christopher Takacs Jr. | Physician Assistant | 510 Stockton Rdg, Cranberry Township, PA 16066-2280 | 2020-10-23 |
| 1467051763 | Molly Catherine Peters | Physician Assistant | 4338 Boone St, Philadelphia, PA 19128-4901 | 2020-10-19 |
| 1508465840 | Tran Quyen Tran | Physician Assistant | 2941 Hillside Rd, Broomall, PA 19008-1304 | 2020-10-19 |
| 1275132656 | Jessica Haley Stecklein | Physician Assistant | 696 Fir Ave, Langhorne, PA 19047-5450 | 2020-10-18 |
| 1083212625 | Kele Ferreira | Physician Assistant | 1201 Sandhill Rd, Lebanon, PA 17046-1943 | 2020-10-15 |
| 1386251619 | Nicholas James Lazorka | Physician Assistant | 195 Chapmans Round Top Rd, Montoursville, PA 17754-7508 | 2020-09-30 |
| Find all providers with the same taxonomy | ||||
| City | COAL TOWNSHIP |
| Zip Code | 17866 |
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| 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.