Active NPI
Frederick George Miley II, MD
- Psychiatry Physician
- Ocala, FL
National Provider Identifier
1104950609
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- ME 13722
- Practice address
- 2100 SE 17TH St
Suite 203
Ocala, FL 34471-4196 - Phone
- (352) 629-4448
- Fax
- (352) 867-7015
- NPI assigned
- Mar 15, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | ME 13722 | FL | Primary |
Addresses
Primary practice location
2100 SE 17TH St
Suite 203
Ocala, FL 34471-4196
Mailing address
PO Box 2078
Ocala, FL 34478-2078
Phone (352) 629-4448
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME 13722 | FL | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1104950609",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2078",
"city": "OCALA",
"state": "FL",
"postal_code": "344782078",
"telephone_number": "352-629-4448",
"fax_number": "352-867-7015"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2100 SE 17TH ST",
"address_2": "SUITE 203",
"city": "OCALA",
"state": "FL",
"postal_code": "344714196",
"telephone_number": "352-629-4448",
"fax_number": "352-867-7015"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILEY",
"first_name": "FREDERICK",
"middle_name": "GEORGE",
"name_prefix": "Dr.",
"name_suffix": "II",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "FL",
"license": "ME 13722",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ocala, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.