Active NPI
Thomas James Miles, HEALTH SERVICES TECH
- Independent Duty Medical Technicians
- Saint Louis, MO
National Provider Identifier
1164564639
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Independent Duty Medical Technicians
- Practice address
- 1222 Spruce St RM 2.102a
Saint Louis, MO 63103-2854 - Phone
- (314) 269-2471
- Fax
- (314) 269-2743
- NPI assigned
- Feb 13, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Independent Duty Medical Technicians | 1710I1003X | Primary |
Addresses
Primary practice location
1222 Spruce St RM 2.102a
Saint Louis, MO 63103-2854
Mailing address
208 Huntleigh Dr
Belleville, IL 62220-3039
Phone (314) 269-2471
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171324800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1164564639",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "208 HUNTLEIGH DR",
"city": "BELLEVILLE",
"state": "IL",
"postal_code": "622203039",
"telephone_number": "314-269-2471",
"fax_number": "314-269-2743"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1222 SPRUCE ST RM 2.102A",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631032854",
"telephone_number": "314-269-2471",
"fax_number": "314-269-2743"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILES",
"first_name": "THOMAS",
"middle_name": "JAMES",
"name_prefix": "Mr.",
"credential": "HEALTH SERVICES TECH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1710I1003X",
"taxonomy_group": "",
"desc": "Military Health Care Provider, Independent Duty Medical Technicians",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Louis, MO
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.