Milestone Pediatric Care, PLLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

4195 Issued in OK

Legal business name

MILESTONE PEDIATRIC CARE, PLLC

Doing business as

Milestones Pediatric Care

Practice address

3863 S 103Rd East Ave
Tulsa, OK 74146-2443

Phone

(918) 745-0800

Fax

(918) 745-0028

NPI assigned

Oct 27, 2010

Last updated

Jan 14, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. James Aaron Henley, D.O.

Title

Manager/Member

Phone

(918) 745-0800

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Milestones Pediatric Care Doing business as

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/2853/brand/1/csg/1/fhir/r4

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1288137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389657600000",
    "number": "1639479348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3845 S 103RD EAST AVE",
            "address_2": "SUITE 102",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741462452",
            "telephone_number": "918-745-0800",
            "fax_number": "918-745-0028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3863 S 103RD EAST AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741462443",
            "telephone_number": "918-745-0800",
            "fax_number": "918-745-0028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILESTONE PEDIATRIC CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-27",
        "last_updated": "2014-01-14",
        "status": "A",
        "authorized_official_last_name": "HENLEY",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "AARON",
        "authorized_official_title_or_position": "MANAGER/MEMBER",
        "authorized_official_telephone_number": "918-745-0800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "OK",
            "license": "4195",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200312980A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Milestones Pediatric Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jeffrey Anthony Miles, D.D.S.
• Joseph Tye Miles, END TECH
• Justin K Miles, MPA
• Kierra Lashae Miles
• Lauren Grace Miles
• Milestones Medical Clinic, LLC
• Milestones Pediatric Urgent Care
• Wendy Ann Miley, M.S.W.
• Cynthia Lyn Milford, M.S., ED.S.
• James Stuart Millar, MD

• Pediatrics Physician in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Pediatrics Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2014; 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.