Individual provider Active NPI

Tanner Miles, M.D.

  • Emergency Medicine Physician
  • Cedar City, UT
National Provider Identifier
1265963680
Registry record updated Oct 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
7673367-1205 Issued in UT
Practice address
1303 N Main St
Cedar City, UT 84721-9746
Phone
(435) 868-5000
NPI assigned
Mar 27, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X ME144233 FL
Emergency Medicine Physician 207P00000X 7673367-1205 UT Primary

Addresses

Primary practice location

1303 N Main St
Cedar City, UT 84721-9746

Mailing address

1303 N Main St
Cedar City, UT 84721-9746
Phone (435) 868-5000

Other practice location 1

8083 Parramore Rd
Jacksonville, FL 32244-5703
Phone (904) 450-6760

Other practice location 2

9820 Hutchinson Park Dr
Jacksonville, FL 32225-7205
Phone (904) 450-6740

Other practice location 3

1380 E Medical Center Dr
St George, UT 84790-2123
Phone (435) 251-1000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, UT2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200425000121 FL Practitioner - Emergency Medicine 7618240979 Reassigns benefits to 1 organization
I20230811001738 UT Practitioner - Emergency Medicine 7618240979 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ihc Health Services IncGroup PAC ID 1850209420, 3,948 clinicians

Practice addresses (Care Compare)

1303 N Main St
Cedar City, UT 84721-9746
Phone (435) 868-5300

Hospital & facility affiliations

  • Intermountain Health Cedar City Hospital Hospital, Cedar City, UT, CCN 460007

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
7673367-1205UTMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cep America LLC Emergency Medicine CurrentSince Jun 21, 2023 Accepting new patients
Ihc Health Services Inc Family Medicine Current Accepting new patients
Ihc Health Services, Inc. CurrentSince Jun 17, 2023 Accepting new patients
Cep America, LLC Emergency Medicine CurrentSince Jun 21, 2023 Accepting new patients
Ihc Health Services Inc CurrentSince Jun 17, 2023 Accepting new patients

Locations

2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

8083 Parramore Rd
Jacksonville, FL 32244
Phone (904) 450-6760

9820 Hutchinson Park Dr
Jacksonville, FL 32225
Phone (904) 450-6740

4201 Belfort Rd
Jacksonville, FL 32216
Phone (904) 268-5561

7800 US Highway 98 W
Miramar Beach, FL 32550
Phone (850) 267-1603

615 N Bonita Ave
Panama City, FL 32401
Phone (850) 747-2020

1303 N Main St
Cedar City, UT 84721
Phone (435) 586-2229

1380 E Medical Center Dr
#P
St George, UT 84790
Phone (435) 251-2355

1380 E Medical Center Dr
St George, UT 84790
Phone (435) 251-2992

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1490572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697673600000",
    "number": "1265963680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1303 N MAIN ST",
            "city": "CEDAR CITY",
            "state": "UT",
            "postal_code": "847219746",
            "telephone_number": "435-868-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1303 N MAIN ST",
            "city": "CEDAR CITY",
            "state": "UT",
            "postal_code": "847219746",
            "telephone_number": "435-868-5000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8083 Parramore Rd",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322445703",
            "country_code": "US",
            "telephone_number": "904-450-6760",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9820 Hutchinson Park Dr",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322257205",
            "country_code": "US",
            "telephone_number": "904-450-6740",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1380 E Medical Center Dr",
            "address_purpose": "LOCATION",
            "city": "St George",
            "state": "UT",
            "postal_code": "847902123",
            "country_code": "US",
            "telephone_number": "435-251-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILES",
        "first_name": "TANNER",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-27",
        "last_updated": "2023-10-19",
        "certification_date": "2023-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "ME144233",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "UT",
            "license": "7673367-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar City, UT

Sources for this page

Verify at the official NPI Registry.