Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Richard Andrew Miller, PA-C

Individual provider Physician Assistant · NPI 1508998105

Mr. Richard Andrew Miller, PA-C is a Physician Assistant in Peoria, Illinois. Qualified in 2000, 26 years ago. Practices with Peoria Ear Nose and Throat Group SC, a 17-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
26
Licensed in
IL
In the registry since
2007
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

7301 N Knoxville Ave
Peoria, IL 61614-2017
Phone: (309) 589-5900
Fax: (309) 689-0312
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 085001469 (IL)
Physician Assistant Taxonomy 363A00000X · Licence 085001469 (IL)

Record details

NPI number1508998105
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMarch 9, 2007
Last updated in NPPESJuly 21, 2025
Certification dateJuly 21, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Group practice Peoria Ear Nose And Throat Group Sc — 17 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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