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

Jonathan Miller, PA

Individual provider Surgical Physician Assistant · NPI 1518450477

Jonathan Miller, PA is a Physician Assistant in Providence, Rhode Island. Qualified in 2018, 8 years ago. Practices with Rhode Island Medical Imaging Inc, a 107-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Rhode Island.

Years since qualifying
8
Licensed in
RI
In the registry since
2018
Specialties on file
2
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

164 Summit Ave
Providence, RI 02906-2853
Phone: (401) 793-4480
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 211 Park St, Attleboro, MA 02703-3137 — (508) 222-5200

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA01059 (RI)
Surgical Physician Assistant Taxonomy 363AS0400X

Record details

NPI number1518450477
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedJune 14, 2018
Last updated in NPPESMay 26, 2022
Certification dateMay 26, 2022
Mailing address125 Metro Center Blvd Ste 2000, Warwick, RI 02886-1785

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Rhode Island Medical Imaging Inc — 107 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in Providence