David Addison Miles, MD
Individual provider Active NPI Cardiovascular Disease Physician · Baker, FL
NPI 1477542223 · NPPES record last updated May 21, 2021
Key facts
- NPI
- 1477542223
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Cardiovascular Disease Physician 207RC0000X
- License
- ME36788 (FL)
- Practice address
- 1200 Henley LN
Baker, FL 32531-2702 - Phone
- (850) 969-7979
- Fax
- (850) 476-9352
- NPI assigned
- Oct 14, 2005
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME36788 | FL | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwest Florida Heart Group PA | Cardiovascular Disease | Past |
Accepting new patients |
| West Florida Medical Center Clinic PA | Past | Accepting new patients |
Interoperability endpoints
- david.miles.1@24790.direct.athenahealth.com
- david.miles@hca5.eclinicaldirectplus.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | ME36788 | FL | Yes |
Addresses
Primary practice location
1200 Henley LN
Baker, FL 32531-2702
Mailing address
PO Box 17567
Pensacola, FL 32522-7567
Phone (850) 969-7979
Other practice location 1
2010 Turner Lewis Boulevard
Fort Walton Beach, FL 32547
Phone (850) 484-6500
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 17475 | Other | FL | BCBS OF FL |
| 5638025 | Other | AETNA | |
| 59166821MIL | Other | AL | BCBS OF ALABAMA |
| 065064100 | Medicaid | FL | |
| 4040398 | Other | TN | BC OF TENNESSEE |
| NQ362 | Other | FL | MEDICARE OF FL |
| Q00062537 | Other | FL | RAILROAD MEDICARE OF FL |
| 2500248 | Other | UNITED HEALTHCARE | |
| 009962390 | Other | AL | MEDICAID |
Other providers in Baker, FL
- Health-Smart Pharmacy Inc.
- Allison Nicole Hohider
- Jillian Leigh Jernigan
- Mathis Dream LLC
- Michelle H Stevens MD PA
- Redeeming Health & Wellness LLC
- Michele Courtney Reed
- Marianne W. C. Tullus
All providers in Baker, FL · Cardiovascular Disease Physician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 21, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.