Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jerome Timothy Miller, PA

Individual provider Physician Assistant · NPI 1629034798

Jerome Timothy Miller, PA is a Physician Assistant in Sheboygan, Wisconsin. Works from 2 locations. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2006
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

2414 Kohler Memorial Dr
Sheboygan, WI 53081-3129
Phone: (920) 457-4461
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1703 N Taylor Dr, Sheboygan, WI 53081-1933 — (920) 457-4438

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 726-23 (WI)

Record details

NPI number1629034798
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedApril 26, 2006
Last updated in NPPESJuly 21, 2022
Certification dateNovember 23, 2021

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