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NPI Code Detail

MEDICARE: JASON R. MILLER P.A.

MEDICARE: JASON R. MILLER P.A.
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
1363A00000XPhysician Assistant0110001952VA

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2P00799175OTHERVARR MEDICARE
3P00193130OTHERVAMEDICARE RR

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1992727051
Entity Type Code : Individual
Provider Name (Legal Business Name) : JASON R. MILLER P.A.
Provider Business Mailing Address
First Line : PO BOX 7848
Second Line :
City : PORTSMOUTH
State : VA
Zip : 23707-0848
Country : US
Telephone Number : 757-397-0783
Fax Number : 757-397-0236
Provider Business Practice Location Address
First Line : 3300 HIGH ST
Second Line : SUITE 1
City : PORTSMOUTH
State : VA
Zip : 23707-3321
Country : US
Telephone Number : 757-397-0783
Fax Number : 757-397-0236
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/24/2006
Last Update Date : 04/08/2010

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Directions to “ JASON R. MILLER P.A.” Practice Location

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