Organization Active NPI

Jefferson T. Miley, M.D.,P.a.

  • Neurology Physician
  • Austin, TX
National Provider Identifier
1174834659
Registry record updated Nov 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
103329 Issued in MN
Legal business name
JEFFERSON T. MILEY, M.D.,P.A.
Practice address
12180 N Mopac Expy
Ste B
Austin, TX 78758-2909
Phone
(512) 617-6767
Fax
(512) 617-5598
NPI assigned
Jun 29, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2010

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

Authorized official

Name
Jefferson Thayer Miley, M.D.NPI 1922292259
Title
Owner
Phone
(512) 617-6767

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084N0400X 103329 MN Primary
Vascular Neurology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084V0102X N5870 TX
Vascular & Interventional Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0204X N5870 TX

Addresses

Primary practice location

12180 N Mopac Expy
Ste B
Austin, TX 78758-2909

Mailing address

12180 N Mopac Expy
Ste B
Austin, TX 78758-2909
Phone (512) 617-6767

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": "1277769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289779200000",
    "number": "1174834659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12180 N MOPAC EXPY",
            "address_2": "STE B",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787582909",
            "telephone_number": "512-617-6767",
            "fax_number": "512-617-5598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12180 N MOPAC EXPY",
            "address_2": "STE B",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787582909",
            "telephone_number": "512-617-6767",
            "fax_number": "512-617-5598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFERSON T. MILEY, M.D.,P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-29",
        "last_updated": "2010-11-15",
        "status": "A",
        "authorized_official_last_name": "MILEY",
        "authorized_official_first_name": "JEFFERSON",
        "authorized_official_middle_name": "THAYER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-617-6767",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MN",
            "license": "103329",
            "primary": true
        },
        {
            "code": "2084V0102X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Vascular Neurology",
            "state": "TX",
            "license": "N5870",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "TX",
            "license": "N5870",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 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.