Wendell Edward Miles, P.A.-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA414 Issued in OK

Practice address

Joseph Harp Correctional Center
16161 Moffet Road
Lexington, OK 73051-0548

Phone

(405) 527-5593

NPI assigned

Apr 13, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1659595023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "JOSEPH HARP CORRECTIONAL CENTER / MED",
            "address_2": "P.O. BOX 548",
            "city": "LEXINGTON",
            "state": "OK",
            "postal_code": "730510548",
            "telephone_number": "405-527-5593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "JOSEPH HARP CORRECTIONAL CENTER",
            "address_2": "16161 MOFFET ROAD",
            "city": "LEXINGTON",
            "state": "OK",
            "postal_code": "730510548",
            "telephone_number": "405-527-5593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILES",
        "first_name": "WENDELL",
        "middle_name": "EDWARD",
        "name_prefix": "Mr.",
        "credential": "P.A.-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OK",
            "license": "PA414",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James B Krablin, MD
• Lexington Healthcare, LLC (Lexington Care & Rehab Center)
• Lexington Nursing Home, Inc.
• Lexington Public Schools
• Alan R. McDonald, D.D.S.
• MM of Lexington LLC (Broadway Living Center)
• Bonnie Parsons
• Cheryl Renee Partridge, APRN
• Rhonda Gaye Pruett
• Kelly Dee Rabe

• Physician Assistant in Lexington, OK
• Providers in Lexington, OK by specialty
• Physician Assistant in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.