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NPI Code Detail

MEDICARE: DR. AMY G MILES D.O.

MEDICARE: DR. AMY G MILES D.O.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine PhysicianOS013782PA
2207QA0401XAddiction Medicine (Family Medicine) PhysicianOS013782PA

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1P00622607OTHERMEDICARE RAILROAD

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1275708612
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. AMY G MILES D.O.
Provider Business Mailing Address
First Line : 505 POPLAR ST STE 206
Second Line :
City : MEADVILLE
State : PA
Zip : 16335-3082
Country : US
Telephone Number : 814-333-3932
Fax Number : 814-398-4340
Provider Business Practice Location Address
First Line : 1330 W 26TH ST
Second Line :
City : ERIE
State : PA
Zip : 16508-1402
Country : US
Telephone Number : 814-459-9300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/28/2008
Last Update Date : 12/05/2025

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