Miles P Light MD PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

4301066541 Issued in MI

Legal business name

MILES P LIGHT MD PC

Practice address

3150 Hallmark CT
Ste #3
Saginaw, MI 48603-2173

Phone

(989) 790-9460

Fax

(989) 790-9468

NPI assigned

Oct 4, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Miles P Light, MD

Title

Physician President

Phone

(989) 790-9460

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259539200000",
    "number": "1750476792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3150 HALLMARK CT",
            "address_2": "STE #3",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486032173",
            "telephone_number": "989-790-9460",
            "fax_number": "989-790-9468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3150 HALLMARK CT",
            "address_2": "STE #3",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486032173",
            "telephone_number": "989-790-9460",
            "fax_number": "989-790-9468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILES P LIGHT MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2009-11-30",
        "status": "A",
        "authorized_official_last_name": "LIGHT",
        "authorized_official_first_name": "MILES",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PHYSICIAN PRESIDENT",
        "authorized_official_telephone_number": "989-790-9460",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301066541",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "51L00510",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "1107301291",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3407348",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Morgan Mikkola
• Mary Ginette Mikulich, RN, BSN
• Hazel Etta Milam, LMSW
• Gina Felicia Milazzo, PT
• Tammy Marie Milbocker, NP-C
• Jiovanni Miles
• Thomas L. Mileski
• Jeffrey Scott Milewski, D.O.
• Janelle Militello-Bermejo
• Anne Milko-Delpier, MSW,LMSW

• Internal Medicine Physician in Saginaw, MI
• Providers in Saginaw, MI by specialty
• Internal Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2009; 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.