Organization Active NPI

Wayne B Miles MD PC

  • Allergy & Immunology (Internal Medicine) Physician
  • Springfield, MO
National Provider Identifier
1699007286
Registry record updated Feb 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology (Internal Medicine) PhysicianTaxonomy code 207RA0201X
License
R5876 Issued in MO
Legal business name
WAYNE B MILES MD PC
Practice address
1200 E Woodhurst Dr
BLDG K Suite 300
Springfield, MO 65804-4261
Phone
(417) 887-1188
Fax
(417) 887-1837
NPI assigned
Feb 5, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2010

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

Authorized official

Name
Dr. Wayne B Miles
Title
Owner/Operator
Phone
(417) 887-1188

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology (Internal Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RA0201X R5876 MO Primary

Addresses

Primary practice location

1200 E Woodhurst Dr
BLDG K Suite 300
Springfield, MO 65804-4261

Mailing address

1200 E Woodhurst Dr
BLDG K Suite 300
Springfield, MO 65804-4261
Phone (417) 887-1188

National Provider Directory

National Provider Directory

Locations

1200 E Woodhurst Dr
Ste K300
Springfield, MO 65804
Phone (417) 887-1188

NPI Registry JSON

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

{
    "created_epoch": "1265328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265328000000",
    "number": "1699007286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 E WOODHURST DR",
            "address_2": "BLDG K SUITE 300",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658044261",
            "telephone_number": "417-887-1188",
            "fax_number": "417-887-1837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 E WOODHURST DR",
            "address_2": "BLDG K SUITE 300",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658044261",
            "telephone_number": "417-887-1188",
            "fax_number": "417-887-1837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAYNE B MILES MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-05",
        "last_updated": "2010-02-05",
        "status": "A",
        "authorized_official_last_name": "MILES",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "417-887-1188",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207RA0201X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Allergy & Immunology",
            "state": "MO",
            "license": "R5876",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2010; 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.