Miles C. Tommeraasen, MD, PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

17527 Issued in NE

Legal business name

MILES C. TOMMERAASEN, MD, PC

Practice address

2222 S 16TH St
Suite 200
Lincoln, NE 68502-3796

Phone

(402) 475-9090

Fax

(402) 475-9092

NPI assigned

Sep 5, 2007

Last updated

Sep 5, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Kendy J Faalii

Title

Office Manager

Phone

(402) 475-9090

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1188950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188950400000",
    "number": "1295929966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2222 S 16TH ST",
            "address_2": "SUITE 200",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685023796",
            "telephone_number": "402-475-9090",
            "fax_number": "402-475-9092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 S 16TH ST",
            "address_2": "SUITE 200",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685023796",
            "telephone_number": "402-475-9090",
            "fax_number": "402-475-9092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILES C. TOMMERAASEN, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-05",
        "last_updated": "2007-09-05",
        "status": "A",
        "authorized_official_last_name": "FAALII",
        "authorized_official_first_name": "KENDY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "402-475-9090",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NE",
            "license": "17527",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mikki J McBride
• Michelle M Miklos
• Emrie Miksch
• Susan Marie Milchling
• Milder Manor, Inc (Sumner Place)
• Jillian Lee Miles
• Jackie Miley
• Natalie Jane Milhouse
• Milius Gibbens Friesen Hattan Martin & Rauner, LLP
• Gary D Milius, MD

• Specialist in Lincoln, NE
• Providers in Lincoln, NE by specialty
• Specialist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 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.

Verify at the official NPI Registry.