Organization Active NPI

Hillsboro Medical Center PC

  • Family Medicine Physician
  • Hillsboro, MO
National Provider Identifier
1568427250
Registry record updated Mar 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
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

Updated by the provider on Mar 31, 2008

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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
115070OtherMOHEALTHLINK
125999OtherMOCMR
9831OtherMOBLUECHOICE
125997OtherMOGHP
22389OtherMOBLUE CROSS BLUE SHIELD
4573819OtherMOAETNA
16219OtherMOGHP

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.