Organization Active NPI

Miles Memorial Hospital, Inc.

  • Surgery Physician
  • Damariscotta, ME
National Provider Identifier
1629143003
Registry record updated Aug 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
0142811799 Issued in ME
Legal business name
MILES MEMORIAL HOSPITAL, INC.
Practice address
5 Miles Center Way
Unit 2
Damariscotta, ME 04543
Phone
(207) 563-4252
Fax
(207) 563-4246
NPI assigned
Nov 21, 2006
Organization subpart
Yes
Parent organization
MILES MEMORIAL HOSPITAL, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 20, 2008

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

Authorized official

Name
Stacey A Miller
Title
VP Physician Services
Phone
(207) 563-4383

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208600000X 0142811799 ME Primary

Addresses

Primary practice location

5 Miles Center Way
Unit 2
Damariscotta, ME 04543

Mailing address

5 Miles Center Way
Unit 2
Damariscotta, ME 04543
Phone (207) 563-4252

Other names 1

  • Miles General Surgery Doing business as

National Provider Directory

National Provider Directory
Part of
Seacove Medical Equipme

Locations

5 Miles Center Way
#2
Damariscotta, ME 04543
Phone (207) 563-4252

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

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": "1164067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219190400000",
    "number": "1629143003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 MILES CENTER WAY",
            "address_2": "UNIT 2",
            "city": "DAMARISCOTTA",
            "state": "ME",
            "postal_code": "04543",
            "telephone_number": "207-563-4252",
            "fax_number": "207-563-4246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 MILES CENTER WAY",
            "address_2": "UNIT 2",
            "city": "DAMARISCOTTA",
            "state": "ME",
            "postal_code": "04543",
            "telephone_number": "207-563-4252",
            "fax_number": "207-563-4246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILES MEMORIAL HOSPITAL, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MILES MEMORIAL HOSPITAL, INC.",
        "enumeration_date": "2006-11-21",
        "last_updated": "2008-08-20",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "STACEY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "VP PHYSICIAN SERVICES",
        "authorized_official_telephone_number": "207-563-4383"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "ME",
            "license": "0142811799",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Miles General Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Damariscotta, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 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.