Organization Active NPI

Miles Memorial Hospital, Inc.

Doing business as Miles Pediatrics

  • Pediatrics Physician
  • Damariscotta, ME
National Provider Identifier
1679649594
Registry record updated Jul 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
MILES MEMORIAL HOSPITAL, INC.
Doing business as
Miles Pediatrics
Practice address
79 Schooner St Unit 2
Damariscotta, ME 04543-4051
Phone
(207) 563-4780
Fax
(207) 563-4713
NPI assigned
Nov 24, 2006
Last updated
Jul 24, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
MILES MEMORIAL HOSPITAL, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 24, 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
Pediatrics Physician 208000000X Primary

Addresses

Primary practice location

79 Schooner St Unit 2
Damariscotta, ME 04543-4051

Mailing address

PO Box 745
Newcastle, ME 04553-0745
Phone (207) 563-4780

Other names 1

  • Miles Pediatrics Doing business as

National Provider Directory

National Provider Directory
Part of
Seacove Medical Equipme

Locations

79 Schooner St
#2
Damariscotta, ME 04543
Phone (207) 563-4780

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1164326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216857600000",
    "number": "1679649594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 745",
            "city": "NEWCASTLE",
            "state": "ME",
            "postal_code": "045530745",
            "telephone_number": "207-563-4780",
            "fax_number": "207-563-4713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "79 SCHOONER ST UNIT 2",
            "city": "DAMARISCOTTA",
            "state": "ME",
            "postal_code": "045434051",
            "telephone_number": "207-563-4780",
            "fax_number": "207-563-4713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILES MEMORIAL HOSPITAL, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MILES MEMORIAL HOSPITAL, INC.",
        "enumeration_date": "2006-11-24",
        "last_updated": "2008-07-24",
        "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": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Miles Pediatrics",
            "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 Jul 24, 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.