Douglas E Wiles

Primary specialty

Hearing Instrument SpecialistTaxonomy code 237700000X

License

2008-0010 Issued in MO

Practice address

1032 E Karsch Blvd
Farmington, MO 63640-3403

Phone

(573) 701-9015

Fax

(573) 701-0103

NPI assigned

Jan 24, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Brad McMillin, Inc

  • Hearing Aid Equipment
  • Farmington, MO
  • NPI 1871719922
  NPD (past)

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

{
    "created_epoch": "1201132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377216000000",
    "number": "1326225053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1032 E KARSCH BLVD",
            "city": "FARMINGTON",
            "state": "MO",
            "postal_code": "636403403",
            "telephone_number": "573-701-9015",
            "fax_number": "573-701-0103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1032 E KARSCH BLVD",
            "city": "FARMINGTON",
            "state": "MO",
            "postal_code": "636403403",
            "telephone_number": "573-701-9015",
            "fax_number": "573-701-0103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILES",
        "first_name": "DOUGLAS",
        "middle_name": "E",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-24",
        "last_updated": "2013-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "MO",
            "license": "2008-0010",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF IL",
            "identifier": "8215212",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Teresa Christine Whited, BS
• Lawrence Evan Wibbels, M.D.
• Jorgen C Wibskov, HIS
• Richard Wild
• Virginia Lee Wild
• Kathryn Sue Wiles, DPT
• Kevin Wilkins
• Amy Elizabeth Williams, FNP
• Clyde Williams
• Evan Grant Williams, M.D.

• Hearing Instrument Specialist in Farmington, MO
• Providers in Farmington, MO by specialty
• Hearing Instrument Specialist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2013; 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.