Katina Byrd Miles, MD LLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

D0057437 Issued in MD

Legal business name

KATINA BYRD MILES, MD LLC

Practice address

2401 Brandermill Blvd
Suite 240
Gambrills, MD 21054

Phone

(410) 451-0500

NPI assigned

Jul 31, 2014

Organization subpart

No

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

Authorized official

Name

Katina Bryd Miles, M.D.NPI 1053460568

Title

Owner

Phone

(410) 451-0500

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Locations

Practitioners 1

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

• Katina Byrd Miles, M.D.

  • Dermatology Physician
  • Fort Washington, MD
  • NPI 1053460568
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1406764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413331200000",
    "number": "1104234319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 BRANDERMILL BLVD",
            "address_2": "SUITE 240",
            "city": "GAMBRILLS",
            "state": "MD",
            "postal_code": "210541690",
            "telephone_number": "410-451-0500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 BRANDERMILL BLVD",
            "address_2": "SUITE 240",
            "city": "GAMBRILLS",
            "state": "MD",
            "postal_code": "21054",
            "telephone_number": "410-451-0500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATINA BYRD MILES, MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-31",
        "last_updated": "2014-10-15",
        "status": "A",
        "authorized_official_last_name": "MILES",
        "authorized_official_first_name": "KATINA",
        "authorized_official_middle_name": "BRYD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-451-0500",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "MD",
            "license": "D0057437",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John V. Demaio DC PC
• Karen Sue Jordan, OTR/L, C/LT, C/NDT
• Lisa Jurkiewicz
• Grace Kalakay, L.AC.
• Mary Karvounis, D.D.S.
• Laura Kelly
• Erin Kenawell, CRNP
• James A Keyes, D.C.
• Eugene Khoroshan
• Judith Kim

• Dermatology Physician in Gambrills, MD
• Providers in Gambrills, MD by specialty
• Dermatology Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.