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

Individual provider Physician Assistant · NPI 1447620695

Theodore Zachary Miller, PA-C is a Physician Assistant in Williamsport, Pennsylvania. Qualified in 2015, 11 years ago. Practices with Ellenville Emergency Medical Associates PLLC, an 8-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
11
Licensed in
PA
In the registry since
2015
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

700 High St
Williamsport, PA 17701-3100
Phone: (570) 321-2125
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence MA057862 (PA)
Medical Physician Assistant Taxonomy 363AM0700X · Licence MA057862 (PA)

Record details

NPI number1447620695
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 30, 2015
Last updated in NPPESJanuary 15, 2021
Certification dateJanuary 15, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Ellenville Emergency Medical Associates Pllc — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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