Miles W Trumble MD PLLC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

MT030207 Issued in MI

Legal business name

MILES W TRUMBLE MD PLLC

Practice address

1420 Plaza Drive
Ste 1a
Petoskey, MI 49770

Phone

(231) 487-3937

Fax

(231) 487-3939

NPI assigned

Aug 10, 2007

Organization subpart

No

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

Authorized official

Name

Miles W Trumble, MDNPI 1619934387

Title

Owner

Phone

(231) 487-3937

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Bear River Eye Associates Doing business as

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Miles W Trumble, MD PLLC

  • Ophthalmology Physician
  • Petoksey, MI
  • NPI 1619934387
  NPD (past) Authorized official
• Joseph William Doe IV, M.D.

  • Ophthalmology Physician
  • Gaylord, MI
  • NPI 1407984909
  NPD (past)
• Timothy Scott Jarvi, MD

  • Ophthalmology Physician
  • Petoskey, MI
  • NPI 1770517120
  NPD (past)

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

{
    "created_epoch": "1186704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219104000000",
    "number": "1467644732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 PLAZA DRIVE",
            "address_2": "STE 1A",
            "city": "PETOSKEY",
            "state": "MI",
            "postal_code": "49770",
            "telephone_number": "231-487-3937",
            "fax_number": "231-487-3939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 PLAZA DRIVE",
            "address_2": "STE 1A",
            "city": "PETOSKEY",
            "state": "MI",
            "postal_code": "49770",
            "telephone_number": "231-487-3937",
            "fax_number": "231-487-3939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILES W TRUMBLE MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-10",
        "last_updated": "2008-08-19",
        "status": "A",
        "authorized_official_last_name": "TRUMBLE",
        "authorized_official_first_name": "MILES",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "231-487-3937",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "MI",
            "license": "MT030207",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "180B410190",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3481120",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CARE NETWORK",
            "identifier": "P54436",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bear River Eye Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michael W Johnson, MD, PC
• Michigan Heart & Vascular Specialists, PC
• Brandon Robert Peter Mielke, PHD, LPC, NCC, CAADC
• Jacob A Milbrandt, DPT
• Joseph Andrew Milbrandt, PHARMD
• David K Miller Jr., DDS
• Cory Mills, DNP, A-GNP-C, RN
• Concetta Millstead, LMSW
• Samuel F Minor, MD
• Dalton Junqueira de Miranda Jr., M.D.

• Ophthalmology Physician in Petoskey, MI
• Providers in Petoskey, MI by specialty
• Ophthalmology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2008; 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.