Theodore Miko, D.O.

Primary specialty

SpecialistTaxonomy code 174400000X

License

044966 Issued in GA

Practice address

4391 Fallowfield LN SW
Lilburn, GA 30047-7405

Phone

(678) 380-4081

Fax

(678) 380-4348

NPI assigned

Aug 25, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Ahp of Georgia, LLC

  • Anesthesiology Physician
  • Atlanta, GA
  • NPI 1467400481
  NPD (past)
• Gwinnett Anesthesia Service PC

  • Anesthesiology Physician
  • Lawrenceville, GA
  • NPI 1528015930
  NPD (past)
• Medical Center Anesthesiology of Athens

  • Anesthesiology Physician
  • Athens, GA
  • NPI 1003863291
  NPD (past)
• Anesthesia Health Care Partners of Florida Inc

  • Anesthesiology Physician
  • Orlando, FL
  • NPI 1518915545
  NPD (past)

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1932216785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4391 FALLOWFIELD LN SW",
            "city": "LILBURN",
            "state": "GA",
            "postal_code": "300477405",
            "telephone_number": "678-380-4081",
            "fax_number": "678-380-4348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4391 FALLOWFIELD LN SW",
            "city": "LILBURN",
            "state": "GA",
            "postal_code": "300477405",
            "telephone_number": "678-380-4081",
            "fax_number": "678-380-4348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIKO",
        "first_name": "THEODORE",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "GA",
            "license": "044966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Medpro Independent Living LLC
• Glenda Patricia Menendez, FNP-C
• Joy Caroline Merchan, M.ED., CCC-SLP & LPN
• Metro1Homecare
• Michael E Mayfield MD and Assoc PC
• Keiasya Breona Miles
• Kuartni Miles
• Jennifer Louise Millard, M.D.
• Mindflo Psychiatry, LLC
• Mindful Measures LLC

• Specialist in Lilburn, GA
• Providers in Lilburn, GA by specialty
• Specialist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.