DR. OLIVER FRED MILLER III (NPI# 1750344164) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750344164 |
| Entity Type | Individual |
| Full Name | DR. OLIVER FRED MILLER III |
| Credential | MD |
| Practice Address |
16 Woodbine Lane Danville PA 17822-5206 |
| Mailing Address |
100 N Academy Ave Danville PA 17822-3034 |
| Practice Telephone | 5702718050 |
| Practice Fax Number | 5702715940 |
| Mailing Telephone | 5702716144 |
| Mailing Fax Number | 5702716578 |
| Enumeration Date | 2006-04-07 |
| Last Update Date | 2020-06-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | MD029136L | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 000692239 | 05 |
| Street Address |
16 WOODBINE LANE |
| City | DANVILLE |
| State | PA |
| Zip Code | 17822-5206 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164417184 | Jared W Schneider | Optometrist | 16 Woodbine Lane, Danville, PA 17822-8029 | 2005-09-15 |
| 1083277834 | Kayla Jean Riswold | Student in an Organized Health Care Education/Training Program | 16 Woodbine Lane, Danville, PA 17822-1554 | 2019-04-17 |
| 1437636354 | Jill Susan Sweigard | Nurse Practitioner | 16 Woodbine Lane, Danville, PA 17822-1154 | 2018-07-24 |
| 1164921631 | Liberty Woodruff Deegan | Physician Assistant | 16 Woodbine Lane, Danville, PA 17822-9800 | 2018-02-09 |
| 1316462864 | Matthew James Delong | Optometrist | 16 Woodbine Lane, Danville, PA 17822-9118 | 2017-08-06 |
| 1396270096 | Oksana Bailiff | Student in an Organized Health Care Education/Training Program | 16 Woodbine Lane, Danville, PA 17822 | 2017-05-01 |
| 1821521733 | Radhika Rani Trivedi | Dermatology | 16 Woodbine Lane, Danville, PA 17822 | 2017-04-07 |
| 1235660952 | Frank Zurfley Jr. | Dermatology | 16 Woodbine Lane, Geisinger/dermatology, Danville, PA 17821 | 2017-03-23 |
| 1932642949 | Rachael Jane Palazzo | Physician Assistant | 16 Woodbine Lane, Danville, PA 17822-2910 | 2016-11-22 |
| 1902256274 | Gisland Montour | Physical Medicine & Rehabilitation | 16 Woodbine Lane, Danville, PA 17822-3323 | 2016-06-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366062895 | Staci Lee Benoit | Student in an Organized Health Care Education/Training Program | 100 North Academy Avenue Geisinger Medical Center, Danville, PA 17822 | 2020-04-24 |
| 1275162018 | Kristena Yossef | Student in an Organized Health Care Education/Training Program | Geisinger Medical Center, 100 North Academy Avenue, Da, Danville, PA 17822 | 2020-04-03 |
| 1003470444 | Intekhab Askari Syed Ahmad Raza | Student in an Organized Health Care Education/Training Program | 100 North Academy Avenue, Geisinger Medical Center, Danville, PA 17822 | 2019-04-30 |
| 1841766334 | Sarah Louise Dearment | Counselor | Geisinger Medical Center: Department of Psychiatry, 100 N. Academy Avenue, Danville, PA 17822 | 2018-10-23 |
| 1548753908 | Josie Pervola | Genetic Counselor, MS | 100 N Academy Ave Mc-26-20, Danville, PA 17822 | 2018-06-11 |
| 1477059350 | Martha Niemiec | Counselor | Geisinger Medical Center Department of Psychiatry, 100 North Academy Avenue, Danville, PA 17822 | 2018-04-01 |
| 1730625450 | Nir Shimony | Neurological Surgery | 100 N. Academy Ave., Geisinger Medical Center, Neurosurgery Department, Danville, PA 17822 | 2017-01-19 |
| 1164877197 | Britta Hunter | Speech-Language Pathologist | 100 N. Academy Ave., Danville, PA 17822 | 2016-04-27 |
| 1891180725 | Zach Rottmann | Internal Medicine | Geisinger Medical Center, 100 North Academy Avenue, Danville, PA 17822 | 2015-03-30 |
| 1891063251 | John D Chakan | Pharmacist | 1000 S Second St, Sunbury, PA 17822 | 2011-12-13 |
| Find all providers in zip 17822 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174918098 | Samantha Rose Ellis | Dermatology | 600 San Ramon Valley Blvd Ste 102, Danville, CA 94526-4021 | 2015-03-30 |
| 1427488618 | Dermatology & Laser Centre, Inc | Dermatology | 770 San Ramon Valley Blvd, Danville, CA 94526-4077 | 2013-11-25 |
| 1376805812 | Nathan Andrew Merl Jackson | Dermatology | 4545 Riverside Dr Ste D, Danville, VA 24541-5173 | 2012-06-11 |
| 1689863722 | Salli Smith Slone, Md, Psc | Dermatology | 111 Daniel Drive, Danville, KY 40422-2527 | 2007-10-15 |
| 1184635195 | Jerome Potozkin | Dermatology | 600 San Ramon Valley Blvd, Suite 102, Danville, CA 94526-4014 | 2006-08-11 |
| 1457396277 | Gergana Gallacher | Dermatology | 770 San Ramon Blvd, Danville, CA 94526-4407 | 2006-06-17 |
| 1407894074 | Sonia Badreshia | Dermatology | 360 Rose Ave, Danville, CA 94526-3320 | 2006-06-03 |
| 1083618326 | Salli Smith Slone | Dermatology | 111 Daniel Dr, Danville, KY 40422-2527 | 2005-06-01 |
| 1417586363 | Paul Allen Leiphart | Dermatology | 100 N Academy Ave, Danville, PA 17822-0001 | 2020-04-03 |
| 1821521733 | Radhika Rani Trivedi | Dermatology | 16 Woodbine Lane, Danville, PA 17822 | 2017-04-07 |
| Find all providers in DANVILLE | ||||
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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.