Active NPI
Rosalyn Ball Miles, MD
- Neurology Physician
- Clayton, MO
National Provider Identifier
1811190093
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 2005014692
- Practice address
- 110 Lancaster Dr
Clayton, MO 63105-3632 - Phone
- (314) 809-6091
- Fax
- (877) 772-9805
- NPI assigned
- Jun 6, 2007
- Last updated
- May 3, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 2005014692 | MO | Primary |
Addresses
Primary practice location
110 Lancaster Dr
Clayton, MO 63105-3632
Mailing address
110 Lancaster Dr
Clayton, MO 63105-3632
Phone (314) 809-6091
Other names 1
- Dr. Rosalyn Patrice Miles
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2005014692 | MO | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alegent Creighton Clinic | Past | Accepting new patients | |
| Alegent Creighton Clinic | Past | Accepting new patients | |
| SSM St. Charles Clinic Medical Group, Inc. | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba SSM Health Medical Group
- Family Medicine Physician
- Saint Charles, MO
- NPI 1811932973
-
dba CHI Health Clinic
- Family Medicine Physician
- Council Bluffs, IA
- NPI 1598811069
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1462233600000",
"number": "1811190093",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 LANCASTER DR",
"city": "CLAYTON",
"state": "MO",
"postal_code": "631053632",
"telephone_number": "314-809-6091",
"fax_number": "877-772-9805"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 LANCASTER DR",
"city": "CLAYTON",
"state": "MO",
"postal_code": "631053632",
"telephone_number": "314-809-6091",
"fax_number": "877-772-9805"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILES",
"first_name": "ROSALYN",
"middle_name": "BALL",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-06",
"last_updated": "2016-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "MO",
"license": "2005014692",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ROSALYN",
"last_name": "MILES",
"middle_name": "PATRICE",
"prefix": "DR.",
"credential": "MD",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Clayton, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.