WALLACE MILLER, JR. MD – NPI #1578591657
Radiology

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

WALLACE MILLER, JR. is a radiologist located in PHILADELPHIA, PA. NPPES has assigned the NPI number 1578591657 to WALLACE MILLER, JR. on June 29, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 2085R0202X from the Health Care Provider Taxonomy code set, which is classified as Radiology, specializing in Diagnostic Radiology

The NPI profile was previously updated about 10 years ago on Jan 19, 2016. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for WALLACE MILLER, JR. below.

NPI Profile for
WALLACE MILLER, JR.

NPI Number
1578591657
Enumeration Date

(about 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
WALLACE MILLER, JR.
Credentials
MD
Primary location
3400 SPRUCE ST
GROUND FLOOR DULLES
PHILADELPHIA, PA 19104
Phone: (215) 662-3000 Fax: (215) 662-7011
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Identifiers

Identifiers for WALLACE MILLER, JR.

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDPA0012316660011
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2085R0202X
- Radiology / Diagnostic Radiology (Primary)
PA MD039219E

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.