Active NPI
University Women'S Health LLC
- Obstetrics & Gynecology Physician
- Fairbanks, AK
National Provider Identifier
1497009294
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 6498
- Legal business name
- UNIVERSITY WOMEN'S HEALTH LLC
- Practice address
- 1875 University Ave S
Unit 1
Fairbanks, AK 99709-4906 - Phone
- (406) 788-8860
- NPI assigned
- Oct 31, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Mark Richard Miles
- Title
- President
- Phone
- (406) 788-8860
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 6498 | AK | Primary |
Addresses
Primary practice location
1875 University Ave S
Unit 1
Fairbanks, AK 99709-4906
Mailing address
451 Wilcox Ave
Fairbanks, AK 99709-3623
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1351641600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1363651200000",
"number": "1497009294",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "451 WILCOX AVE",
"city": "FAIRBANKS",
"state": "AK",
"postal_code": "997093623"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1875 UNIVERSITY AVE S",
"address_2": "UNIT 1",
"city": "FAIRBANKS",
"state": "AK",
"postal_code": "997094906",
"telephone_number": "406-788-8860"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UNIVERSITY WOMEN'S HEALTH LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-10-31",
"last_updated": "2013-03-19",
"status": "A",
"authorized_official_last_name": "MILES",
"authorized_official_first_name": "MARK",
"authorized_official_middle_name": "RICHARD",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "406-788-8860",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": "AK",
"license": "6498",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fairbanks, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 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.