Wandra K. Miles, MD, PLLC

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

4971 Issued in AK

Legal business name

WANDRA K. MILES, MD, PLLC

Practice address

3137 Tongass Ave
Ketchikan, AK 99901-5745

Phone

(206) 292-6226

Fax

(206) 623-8825

NPI assigned

Feb 18, 2008

Organization subpart

No

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

Authorized official

Name

Wandra K Miles, MD

Title

Owner

Phone

(206) 292-6226

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1203292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282003200000",
    "number": "1346418829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 50150",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980150150",
            "telephone_number": "425-228-5228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3137 TONGASS AVE",
            "city": "KETCHIKAN",
            "state": "AK",
            "postal_code": "999015745",
            "telephone_number": "206-292-6226",
            "fax_number": "206-623-8825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WANDRA K. MILES, MD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-18",
        "last_updated": "2010-08-17",
        "status": "A",
        "authorized_official_last_name": "MILES",
        "authorized_official_first_name": "WANDRA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-292-6226",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "AK",
            "license": "4971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tina Louise Vivier, RN
• Carole Leean Vosburgh
• Leanne Waak
• Kenneth T Wallenfelsz, ARNP
• Walmart Inc.
• Adam Warren
• Amber Warren
• John Joseph Weaver, MD
• Christina Weber
• Jeremy Weber

• Plastic Surgery Physician in Ketchikan, AK
• Providers in Ketchikan, AK by specialty
• Plastic Surgery Physician in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 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.