Provider Demographics
NPI:1225023138
Name:MILLER, JASON ROY (DPM)
Entity type:Individual
Prefix:DR
First Name:JASON
Middle Name:ROY
Last Name:MILLER
Suffix:
Gender:
Credentials:DPM
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 34990
Mailing Address - Street 2:
Mailing Address - City:BELFAST
Mailing Address - State:ME
Mailing Address - Zip Code:04915-0627
Mailing Address - Country:US
Mailing Address - Phone:610-359-5672
Mailing Address - Fax:833-941-3871
Practice Address - Street 1:266 LANCASTER AVE
Practice Address - Street 2:SUITE 200
Practice Address - City:MALVERN
Practice Address - State:PA
Practice Address - Zip Code:19355-3256
Practice Address - Country:US
Practice Address - Phone:610-644-6900
Practice Address - Fax:833-941-3871
Is Sole Proprietor?:No
Enumeration Date:2005-09-16
Last Update Date:2025-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASC004376L213E00000X, 213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
No213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA202259000OtherKEYSTONE HEALTH PLAN HMO
PA2Y9621OtherHEALTH NET
PA4039264001OtherCIGNA
PA439335OtherHEALTH AMERICA HEALTH ASSURANCE
PA0018674920001Medicaid
PA288224OtherHEALTH PARTNERS
PAMI1309007OtherBLUE SHIELD OF PA
PA1867492Medicaid
PA2624731OtherAETNA
PA951765OtherKEYSTONE HEALTH PPO
PA3713551000OtherKEYSTONE HEALTH PLAN EAST
PA7658OtherELDER HEALTH / BRAVO
PA231365971OtherHUMANA
PA480032097OtherRAILROAD MEDICARE
NJ8610002OtherNJ MEDICAL ASSISTANCE
PAP2570271OtherOXFORD
PA231365971071OtherTRI-CARE
PA30014074OtherKEYSTONE MERCY
PAA309007OtherINTER CITY
PAP11165423OtherMULTI-PLAN
PA480032097OtherRAILROAD MEDICARE
PAA309007OtherINTER CITY
PAMI1309007OtherBLUE SHIELD OF PA