Michael P. Doyle, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

G71419 Issued in CA

Legal business name

MICHAEL P. DOYLE, M.D.

Doing business as

Lake Tahoe Pediatrics

Practice address

2074 Lake Tahoe Blvd Ste 9
South Lake Tahoe, CA 96150-6417

Phone

(530) 541-6100

Fax

(530) 541-5945

NPI assigned

Feb 28, 2008

Last updated

Feb 28, 2008By 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. Michael P Doyle, M.D.NPI 1265460463

Title

Owner

Phone

(530) 541-6100

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Lake Tahoe Pediatrics Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michael Phillip Doyle, MEDICAL DOCTOR

  • Pediatrics Physician
  • South Lake Tahoe, CA
  • NPI 1265460463
  Authorized official Same address or phone

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

{
    "created_epoch": "1204156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204156800000",
    "number": "1669641189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2074 LAKE TAHOE BLVD STE 9",
            "city": "SOUTH LAKE TAHOE",
            "state": "CA",
            "postal_code": "961506417",
            "telephone_number": "530-541-6100",
            "fax_number": "530-541-5945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2074 LAKE TAHOE BLVD STE 9",
            "city": "SOUTH LAKE TAHOE",
            "state": "CA",
            "postal_code": "961506417",
            "telephone_number": "530-541-6100",
            "fax_number": "530-541-5945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL P. DOYLE, M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-28",
        "last_updated": "2008-02-28",
        "status": "A",
        "authorized_official_last_name": "DOYLE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "530-541-6100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "G71419",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NV LICENCE",
            "identifier": "7876",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0005620",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA LICENCE",
            "identifier": "G71419",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lake Tahoe Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Glenn C Miller, DC
• Leigh Wayne Miller, MD
• Sydney Ione Miller, MA, PPS
• Leeann Mills, PTA
• Mireya Ortega DDS Inc. (High Sierra Dental Care)

• Pediatrics Physician in South Lake Tahoe, CA
• Providers in South Lake Tahoe, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 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.