Thomas Paul Miles MD a Medical Corporation

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

G217290 Issued in CA

Legal business name

THOMAS PAUL MILES MD A MEDICAL CORPORATION

Practice address

1310 Prentice Dr Ste G
Healdsburg, CA 95448-5005

Phone

(707) 473-2840

Fax

(707) 433-6184

NPI assigned

Oct 26, 2010

Organization subpart

No

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

Authorized official

Name

Thomas Paul Miles, M.D.NPI 1255325908

Title

Owner/President

Phone

(707) 473-2840

Specialties & licenses 1

Addresses

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.

• Thomas P Miles, M.D.

  • Specialist
  • Healdsburg, CA
  • NPI 1255325908
  Authorized official Same address or phone

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

{
    "created_epoch": "1288051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288051200000",
    "number": "1801196779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1310 PRENTICE DR STE G",
            "city": "HEALDSBURG",
            "state": "CA",
            "postal_code": "954485005",
            "telephone_number": "707-473-2840",
            "fax_number": "707-433-6184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 PRENTICE DR STE G",
            "city": "HEALDSBURG",
            "state": "CA",
            "postal_code": "954485005",
            "telephone_number": "707-473-2840",
            "fax_number": "707-433-6184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS PAUL MILES MD A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-26",
        "last_updated": "2010-10-26",
        "status": "A",
        "authorized_official_last_name": "MILES",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "707-473-2840",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "CA",
            "license": "G217290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Medical Specialty Clinic/Center in Healdsburg, CA
• Providers in Healdsburg, CA by specialty
• Medical Specialty Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 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.