Active NPI
P. Dudley Giles, MD, PA
- Plastic Surgery Physician
- Stuart, FL
National Provider Identifier
1124343876
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- ME0083459
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 57715 | Other | FL | BLUE CROSS BLUE SHIELD |
| P00039155 | Other | FL | RAILROAD MEDICARE |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
- Stuart, FL
- NPI 1013195866
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.