Active NPI
Hillsboro Medical Center PC
- Family Medicine Physician
- Hillsboro, MO
National Provider Identifier
1568427250
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- HILLSBORO MEDICAL CENTER PC
- Practice address
- 10731 Highway 21
Hillsboro, MO 63050-5218 - Phone
- (636) 789-2722
- Fax
- (636) 797-5900
- NPI assigned
- Apr 18, 2006
- 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. Edward Jeffery Myles, D.O.
- Title
- President/Owner
- Phone
- (636) 789-2722
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
10731 Highway 21
Hillsboro, MO 63050-5218
Mailing address
10731 Highway 21
Hillsboro, MO 63050-5218
Phone (636) 789-2722
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 115070 | Other | MO | HEALTHLINK |
| 125999 | Other | MO | CMR |
| 9831 | Other | MO | BLUECHOICE |
| 125997 | Other | MO | GHP |
| 22389 | Other | MO | BLUE CROSS BLUE SHIELD |
| 4573819 | Other | MO | AETNA |
| 16219 | Other | MO | GHP |
National Provider Directory
National Provider DirectoryLocations
10731 Business 21
Hillsboro, MO 63050
Phone (636) 789-2722
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Saint Louis, MO
- NPI 1265530356
-
- General Practice Registered Nurse
- Festus, MO
- NPI 1043242183
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145318400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1206921600000",
"number": "1568427250",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10731 HIGHWAY 21",
"city": "HILLSBORO",
"state": "MO",
"postal_code": "630505218",
"telephone_number": "636-789-2722",
"fax_number": "636-797-5900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10731 HIGHWAY 21",
"city": "HILLSBORO",
"state": "MO",
"postal_code": "630505218",
"telephone_number": "636-789-2722",
"fax_number": "636-797-5900"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HILLSBORO MEDICAL CENTER PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-04-18",
"last_updated": "2008-03-31",
"status": "A",
"authorized_official_last_name": "MYLES",
"authorized_official_first_name": "EDWARD",
"authorized_official_middle_name": "JEFFERY",
"authorized_official_title_or_position": "PRESIDENT/OWNER",
"authorized_official_telephone_number": "636-789-2722",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHLINK",
"identifier": "115070",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CMR",
"identifier": "125999",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECHOICE",
"identifier": "9831",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHP",
"identifier": "125997",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "22389",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4573819",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHP",
"identifier": "16219",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hillsboro, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 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.