Organization Active NPI

P. Dudley Giles, MD, PA

  • Plastic Surgery Physician
  • Stuart, FL
National Provider Identifier
1124343876
Registry record updated Apr 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
ME0083459 Issued in FL
Legal business name
P. DUDLEY GILES, MD, PA
Practice address
323 SE Osceola St
Stuart, FL 34994-2227
Phone
(772) 546-3223
Fax
(772) 220-1168
NPI assigned
Apr 6, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2010

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

Authorized official

Name
P. Dudley Giles, MD
Title
Owner/Physician
Phone
(772) 546-3223

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208200000X ME0083459 FL Primary

Addresses

Primary practice location

323 SE Osceola St
Stuart, FL 34994-2227

Mailing address

323 SE Osceola St
Stuart, FL 34994-2227
Phone (772) 546-3223

Other identifiers 2

IdentifierTypeStateIssuer
57715OtherFLBLUE CROSS BLUE SHIELD
P00039155OtherFLRAILROAD MEDICARE

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1270512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270512000000",
    "number": "1124343876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "323 SE OSCEOLA ST",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349942227",
            "telephone_number": "772-546-3223",
            "fax_number": "772-220-1168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "323 SE OSCEOLA ST",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349942227",
            "telephone_number": "772-546-3223",
            "fax_number": "772-220-1168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "P. DUDLEY GILES, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-06",
        "last_updated": "2010-04-06",
        "status": "A",
        "authorized_official_last_name": "GILES",
        "authorized_official_first_name": "P.",
        "authorized_official_middle_name": "DUDLEY",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "772-546-3223",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "FL",
            "license": "ME0083459",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "57715",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00039155",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stuart, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 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.