Organization Active NPI

Richard W. Miles, M.D. & Assoc., PLLC

  • Internal Medicine Physician
  • Bella Vista, AR
National Provider Identifier
1073748141
Registry record updated Dec 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
RICHARD W. MILES, M.D. & ASSOC., PLLC
Practice address
30 Cambria Dr
Bella Vista, AR 72715-1503
Phone
(479) 876-2736
Fax
(888) 331-2737
NPI assigned
May 19, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Richard W. Miles, M.D.
Title
Physician / Owner
Phone
(479) 876-2736

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

30 Cambria Dr
Bella Vista, AR 72715-1503

Mailing address

PO Box 3270
Bella Vista, AR 72715-0270
Phone (479) 876-2736

Other identifiers 1

IdentifierTypeStateIssuer
184232002MedicaidAR

National Provider Directory

National Provider Directory

Locations

2455 N Lowell Rd
Springdale, AR 72764
Phone (479) 756-9000

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1242691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292284800000",
    "number": "1073748141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3270",
            "city": "BELLA VISTA",
            "state": "AR",
            "postal_code": "727150270",
            "telephone_number": "479-876-2736",
            "fax_number": "888-331-2737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 CAMBRIA DR",
            "city": "BELLA VISTA",
            "state": "AR",
            "postal_code": "727151503",
            "telephone_number": "479-876-2736",
            "fax_number": "888-331-2737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD W. MILES, M.D. & ASSOC., PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-19",
        "last_updated": "2010-12-14",
        "status": "A",
        "authorized_official_last_name": "MILES",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "PHYSICIAN / OWNER",
        "authorized_official_telephone_number": "479-876-2736",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "184232002",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bella Vista, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.