Marina Lynn Miletich
Nurse Practitioner (Adult Health)

Address: 925 Chestnut St, Philadelphia, PA 19107-4216
Phone: 2159558874

Marina Lynn Miletich (NPI# 1467846691) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1467846691
Entity Type Individual
Full Name Marina Lynn Miletich
Credential AGPCNP-BC
Gender Female
Practice Address 925 Chestnut St
Philadelphia
PA 19107-4216
Practice Telephone 2159558874
Practice Fax Number 2159552010
Mailing Address 925 Chestnut St
Suite 420a
Philadelphia
PA 19107-4216
Mailing Telephone 2159558874
Mailing Fax Number 2159552010
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2015-03-25
Last Update Date 2016-04-27

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 363LA2200X Nurse Practitioner · Adult Health Physician Assistants & Advanced Practice Nursing Providers SPO014665 PA

Other Provider Identifier

State Identifier Issuer Type Code
PA 103087457 MEDICAID

Physician Overview

NPI 1467846691
PAC ID by PECOS 1052611837
Professional Enrollment ID I20151201000345
Full Name Marina L Miletich
Organization Legal Name ABINGTON RADIATION ONCOLOGY, PC
Phone Number 2154812800
Gender F
Graduation Year 2014
Primary Specialty NURSE PRACTITIONER
Group Practice PAC ID 5698752905
Number of Group Practice Members 3
Accepts Medicare Assignment Y
Report Quality Measures Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
390231 ABINGTON MEMORIAL HOSPITAL
390174 THOMAS JEFFERSON UNIVERSITY HOSPITAL

Office Location

Street Address 925 CHESTNUT ST
City PHILADELPHIA
State PA
Zip Code 19107-4216

Providers in the same location

NPI Name Taxonomy Address Enumeration
1417953647 Paul Edward Sullivan Podiatrist 925 Chestnut St, Fifth Floor, Philadelphia, PA 19107-4216 2005-06-22
1609347855 Kathryn Yingling Nurse Practitioner 925 Chestnut St, Philadelphia, PA 19107-4216 2018-12-16
1154808285 Linda H Roberts Social Worker 925 Chestnut St, Philadelphia, PA 19107-4216 2018-07-21
1902392012 Siri Zirkle Larsen Nurse Practitioner 925 Chestnut St, Philadelphia, PA 19107-4216 2018-07-02
1093242489 Irina Linkov Middleton Audiologist 925 Chestnut St, Philadelphia, PA 19107-4216 2017-05-16
1013442839 Kathryn Landers Student in an Organized Health Care Education/Training Program 925 Chestnut St, 6th Floor, Philadelphia, PA 19107-4216 2017-04-30
1609301688 Vivek Rama Varma Student in an Organized Health Care Education/Training Program 925 Chestnut St, 6th Floor, Philadelphia, PA 19107-4216 2017-04-27
1891220042 Lili Schindelar Student in an Organized Health Care Education/Training Program 925 Chestnut St, 5th Floor, Philadelphia, PA 19107-4216 2017-04-25
1548794647 Brandon Rogalski Orthopaedic Surgery 925 Chestnut St, 5th Floor, Philadelphia, PA 19107-4216 2017-04-14
1720512932 Julianna Rodin Student in an Organized Health Care Education/Training Program 925 Chestnut St, 6th Floor, Philadelphia, PA 19107-4216 2017-04-13
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1174093702 Jennifer Lynn Kengeter Psychologist 900 Walnut Street, Suite 200, Philadelphia, PA 19107 2018-11-27
1922588623 Hyung Bin Lee Dentist 315 N 12th St, Apt 803, Philadelphia, PA 19107 2018-08-21
1750860490 Anastasiya Khlypnych Physician Assistant 111 S. 11th Street, Suite 2170, Gibbon Bldg Suite 6210, Philadelphia, PA 19107 2018-08-13
1336630805 Yanina Glenda Nikolaus Student in an Organized Health Care Education/Training Program 117 South 11th Street, 204 Pavillion, Philadelphia, PA 19107 2018-05-21
1023515384 Lisa Michelle Friedland Student in an Organized Health Care Education/Training Program 1020 Sansom St, Suite 1651b, Philadelphia, PA 19107 2018-04-11
1407365257 Liberty Community Connections, Inc Community/Behavioral Health 112 N 8th St Ste 602, Philadelphia, PA 19107 2017-09-25
1669990297 Alishia Anne Kalos Psychologist 1211 Chestnut Street 5th Floor, Philadelphia, PA 19107 2017-09-04
1518487420 Michael Adam Glick Anesthesiology 111 South 11th Street, Suite 8290, Philadelphia, PA 19107 2017-06-21
1598294894 Summer Lewise Schultz Physical Medicine & Rehabilitation 25 South 9th St, Ground Floor, Philadelphia, PA 19107 2017-06-08
1912433632 Victor Eric Chen Student in an Organized Health Care Education/Training Program 111 S 11th St # G301, Philadelphia, PA 19107 2017-05-02
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Taxonomy Information

Taxonomy Code 363LA2200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Adult Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1831674431 Cynthia Frances Brown Nurse Practitioner 6022 N 12th St, Philadelphia, PA 19141-3204 2018-09-28
1780185835 Neva White Nurse Practitioner 211 S 9th St Ste 300, Philadelphia, PA 19107-6810 2018-02-23
1790298487 Anne Kathryn Henner Nurse Practitioner 925 Chestnut St Ste 420a, Philadelphia, PA 19107-4247 2017-11-16
1174052997 Cynthia Wheeler Nurse Practitioner 925 Chestnut St # 421d, Philadelphia, PA 19107-4216 2017-06-06
1740716893 Liliya Gurevich Nurse Practitioner 7906 Frontenac St, Philadelphia, PA 19111-2902 2017-05-11
1235589664 Juliana Omile Nurse Practitioner 7521 Woodcrest Ave, Philadelphia, PA 19151-2702 2016-06-16
1275980468 Joji Thomas Nurse Practitioner 9659 Sandanne Rd, Philadelphia, PA 19115-2727 2016-05-18
1073988374 Cristhi Wilson-brown Nurse Practitioner 521 W Girard Ave, Philadelphia, PA 19123-1428 2015-12-11
1306223813 Anthony Yaroslav Fisun Nurse Practitioner 2008 President St, Philadelphia, PA 19115-2607 2015-05-04
1760879167 Natalia Bridy Nurse Practitioner 1601 W Girard Ave, Philadelphia, PA 19130-1639 2015-04-23
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Competitor

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City PHILADELPHIA
Zip Code 19107

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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