JEROME TIMOTHY MILLER P.A.
NPI 1629034798
Physician Assistant in Sheboygan, WI

Active since April 26, 2006
2414 KOHLER MEMORIAL DR, SHEBOYGAN, WI 53081(920) 457-4461 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2022, Nov 23, 2021, Mar 17, 2018 and 1 more (4 updates tracked since 2017).

About Jerome Timothy Miller P.a. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JEROME TIMOTHY MILLER P.A. (NPI 1629034798) is an individual physician assistant in Sheboygan, Wisconsin, licensed in Wisconsin (726-23) and active in the NPI registry since April 2006. He maintains a secondary practice location in Sheboygan.

NPPES Registry Identity

NPI1629034798
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameJEROME TIMOTHY MILLERCredential: P.A.
Location Address2414 KOHLER MEMORIAL DRSheboygan, WI 53081-3129
Mailing Address2414 Kohler Memorial DrSheboygan, WI 53081-3129 · (920) 457-4461
Sole ProprietorNo
Enumeration DateApril 26, 2006
Last NPPES UpdateJuly 21, 20224 updates tracked since enumeration
NPPES CertifiedNovember 23, 2021
NPI 1629034798 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in WI · 726-23
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
2414 KOHLER MEMORIAL DR, Sheboygan, WI 53081

Secondary Practice Location 1

Location 11703 N Taylor DrSheboygan, WI 53081-1933 · Phone (920) 457-4438 · Fax (920) 451-3214

Other Identifiers 1

Medicaid1629034798WI

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
2414 KOHLER MEMORIAL DR
SHEBOYGAN, WI 53081
Optometrist
2414 KOHLER MEMORIAL DR
SHEBOYGAN, WI 53081
Nurse Practitioner
2414 KOHLER MEMORIAL DR
SHEBOYGAN, WI 53081
Nurse Practitioner (Psychiatric/Mental Health)
2414 KOHLER MEMORIAL DR
SHEBOYGAN, WI 53081
Internal Medicine (Pulmonary Disease)
2414 KOHLER MEMORIAL DR
SHEBOYGAN, WI 53081
Registered Nurse (Diabetes Educator)
2414 KOHLER MEMORIAL DR
SHEBOYGAN, WI 53081
Family Medicine
2414 KOHLER MEMORIAL DR
SHEBOYGAN, WI 53081
Radiology (Diagnostic Radiology)
2414 KOHLER MEMORIAL DR
SHEBOYGAN, WI 53081

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jerome Miller's NPI number?

The NPI number for Jerome Miller is 1629034798. It was assigned to this individual provider in the NPPES registry on April 26, 2006.

Where is Jerome Miller located?

Jerome Miller practices at 2414 Kohler Memorial Dr, Sheboygan, WI 53081. The listed phone number is (920) 457-4461.

What is Jerome Miller's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Jerome Miller was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.