MR. THOMAS JAMES MILES (NPI# 1164564639) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164564639 |
| Entity Type | Individual |
| Full Name | MR. THOMAS JAMES MILES |
| Credential | HEALTH SERVICES TECH |
| Practice Address |
1222 Spruce St Rm 2.102a Saint Louis MO 63103-2854 |
| Mailing Address |
208 Huntleigh Dr Belleville IL 62220-3039 |
| Practice Telephone | 3142692471 |
| Practice Fax Number | 3142692743 |
| Mailing Telephone | 3142692471 |
| Mailing Fax Number | 3142692743 |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1710I1003X |
Military Health Care Provider Specialization: Independent Duty Medical Technicians |
Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568458404 | Thomas I. Miles | Chiropractor | 74 Malin Rd, Malvern, PA 19355-1727 | 2005-09-26 |
| 1255325908 | Thomas P Miles | Specialist | 1310 Prentice Dr, Ste G, Healdsburg, CA 95448-3384 | 2005-09-08 |
| 1205121340 | Thomas Francis Miles | Registered Nurse | 2415 Se 43rd Ave, Suite 100, Portland, OR 97206-1600 | 2011-06-16 |
| 1417939505 | Thomas Eugene Miles Jr. | Internal Medicine | 301 W Huntington Dr, Arcadia, CA 91007-3462 | 2005-11-15 |
| Street Address |
1222 SPRUCE ST RM 2.102A |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63103-2854 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144390436 | Mark Ellsworth Poole | Technician, Other | 1222 Spruce St Rm 2.102a, Saint Louis, MO 63103-2854 | 2006-11-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306355045 | Dimensions of Care | Home Health | 1911washington Ave, Saint Louis, MO 63103 | 2017-09-26 |
| 1467972752 | Rebecca Jones | Social Worker | 1430 Olive Street, 500, St. Louis, MO 63103 | 2017-06-27 |
| 1780124511 | Priority Consumer Directed Services LLC | Home Health | 1409 Washintong Ave, Suite 504, Saint Louis, MO 63103 | 2017-02-27 |
| 1437562766 | Lindsey's Stepping Stones LLC | In Home Supportive Care | 1409 Washibgton Ave Suite 208, Saint Louis, MO 63103 | 2014-06-04 |
| 1952711046 | Jonathan Burch | Specialist/Technologist | 3330 Laclede Avenue, Saint Louis University - Chaifetz Arena, Saint Louis, MO 63103 | 2014-04-29 |
| 1912329954 | Chanel Mitchell | Social Worker | 1430 Olive, Suite 500, Saint Louis, MO 63103 | 2014-01-10 |
| 1194067116 | Hassan R Jafri | Physical Therapist | 1722 Olive, Sutie 201, St. Louis, MO 63103 | 2013-03-18 |
| 1710240023 | Dorothy Harris | Licensed Practical Nurse | 615 North Grand, Saint Louis, MO 63103 | 2012-06-21 |
| 1932407335 | Terence Michael Crowley | Chiropractor | 3141 Locust St Ste 200, Saint Louis, MO 63103 | 2011-03-09 |
| 1104123470 | Thompson Home Health Team LLC | Chore Provider | 3101 Olive Street, St Louis, MO 63103 | 2011-02-22 |
| Find all providers in zip 63103 | ||||
| Taxonomy Code | 1710I1003X |
| Grouping | Other Service Providers |
| Classification | Military Health Care Provider |
| Specialization | Independent Duty Medical Technicians |
| An Independent Duty Medical Technician (IDMT) is specially trained and educated to perform primary medical care, minor surgical services, and treatment of dental disorders for active duty military members in a variety of health care and non-health care settings worldwide under direct and indirect physician supervision. An IDMT may take medical histories, perform physical exams, order lab tests and x-rays, prescribe medications, and give immunizations. IDMTs work under the direct supervision of a physician preceptor when at home station and indirectly when assigned to a Mobile Aid Station, Mobile Medical Unit, remote site, or otherwise deployed specifically as an IDMT. An IDMT may be an experienced Aerospace Medical Service Technician who meets special task qualifications and is recommended for training by the Aerospace Medical Service Functional Manager at their Medical Treatment Facility. IDMTs maintain certification as Nationally Registered Emergency Medical Technicians and as Immunization Back-up Technicians. |
| Notes: Source: Air Force Surgeon General Office [7/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821339268 | Donald Gordon Berger II | Military Health Care Provider | 208 March Dr, Whiteman Afb, MO 65305-1214 | 2013-03-11 |
| 1942568662 | Jacob Daniel Rosko | Military Health Care Provider | 539 Se Dd Hwy Lot 5, Warrensburg, MO 64093-8300 | 2012-05-01 |
| 1356667687 | Benjamen E Pennington | Military Health Care Provider | 310 Houx Dr, Whiteman Afb, MO 65305-1130 | 2010-04-12 |
| 1417576018 | Zachory Woodard | Military Health Care Provider | 331 Sijen Ave, Whiteman Air Force Base, MO 65305-1269 | 2020-04-13 |
| 1992203764 | Dylan John Kielcheski | Military Health Care Provider | 331 Sijen Ave, Whiteman Afb, MO 65305-1269 | 2018-01-26 |
| 1689064875 | Merlin Jewell | Military Health Care Provider | 331 Sijen Ave, Whiteman Afb, MO 65305-1269 | 2015-01-27 |
| 1346670551 | Jessica A. Pownell | Military Health Care Provider | 331 Sijen Ave, Whiteman Afb, MO 65305-1269 | 2013-11-25 |
| 1598061269 | Marcus L Bell | Military Health Care Provider | 126 Missouri Ave, Fort Leonard Wood, MO 65473 | 2011-01-28 |
| 1316173313 | Andrea Darcy Richards | Military Health Care Provider | 331 Sijen Ave, Whiteman Afb, MO 65305-1269 | 2009-06-04 |
| 1881829497 | Shane A Lacaillade | Military Health Care Provider | 331 Sijan Ave, Whiteman Afb, MO 65305-1269 | 2009-05-27 |
| Find all providers with the same taxonomy | ||||
| City | SAINT LOUIS |
| Zip Code | 63103 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.