Provider Demographics
NPI:1982647483
Name:MILLER, SHARON L (DO)
Entity Type:Individual
Prefix:
First Name:SHARON
Middle Name:L
Last Name:MILLER
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:752 BROOKSHIRE DR STE E
Mailing Address - Street 2:
Mailing Address - City:HERMITAGE
Mailing Address - State:PA
Mailing Address - Zip Code:16148-4510
Mailing Address - Country:US
Mailing Address - Phone:724-981-8883
Mailing Address - Fax:724-981-7620
Practice Address - Street 1:752 BROOKSHIRE DR
Practice Address - Street 2:SUITE E
Practice Address - City:HERMITAGE
Practice Address - State:PA
Practice Address - Zip Code:16148-4510
Practice Address - Country:US
Practice Address - Phone:724-981-8883
Practice Address - Fax:724-981-7620
Is Sole Proprietor?:No
Enumeration Date:2006-06-13
Last Update Date:2021-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA0S006287L207RG0100X
PAOS006287L207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA103470890Medicaid
PA1268245Medicaid
PA1268245Medicaid