DR. MILES THOMAS BIRMINGHAM (NPI# 1164703922) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164703922 |
| Entity Type | Individual |
| Full Name | DR. MILES THOMAS BIRMINGHAM |
| Credential | D.O. |
| Practice Address |
1115 Boulders Pkwy Ste 100 North Chesterfield VA 23225-4067 |
| Mailing Address |
1115 Boulders Pkwy Ste 200 North Chesterfield VA 23225-4067 |
| Practice Telephone | 8043201339 |
| Practice Fax Number | 8043305829 |
| Mailing Telephone | 8045605595 |
| Mailing Fax Number | 8045609029 |
| Enumeration Date | 2011-09-07 |
| Last Update Date | 2020-05-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 0102204937 | VA | Allopathic & Osteopathic Physicians |
| N | 207X00000X | Orthopaedic Surgery | OT014089 | PA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4300 Londonderry Rd, Harrisburg, PA 171095317 | 7172318900 |
| Street Address |
1115 BOULDERS PKWY STE 100 |
| City | NORTH CHESTERFIELD |
| State | VA |
| Zip Code | 23225-4067 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538104138 | Johnathon Chisum | Physician Assistant | 1115 Boulders Pkwy Ste 100, North Chesterfield, VA 23225-4067 | 2006-06-18 |
| 1811460785 | Sarah Firebaugh Blom | Specialist/Technologist | 1115 Boulders Pkwy Ste 100, North Chesterfield, VA 23225-4067 | 2019-01-03 |
| 1578056040 | Caroline Elizabeth Shedd | Physical Therapist | 1115 Boulders Pkwy Ste 100, North Chesterfield, VA 23225 | 2018-06-11 |
| 1548625668 | Jacquelyn Martin Cunigan | Physician Assistant | 1115 Boulders Pkwy Ste 100, North Chesterfield, VA 23225-4067 | 2015-12-16 |
| 1497138010 | Justin David Dumont | Physical Medicine & Rehabilitation | 1115 Boulders Pkwy Ste 100, North Chesterfield, VA 23225-4067 | 2015-06-30 |
| 1073945002 | Chase William Grinnell | Physical Therapist | 1115 Boulders Pkwy Ste 100, North Chesterfield, VA 23225-4067 | 2013-08-01 |
| 1992916449 | Ryan Gocke | Orthopaedic Surgery | 1115 Boulders Pkwy Ste 100, North Chesterfield, VA 23225 | 2007-05-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114524543 | Alliance Mental Health LLC | Nurse Practitioner | 7400 Beaufont Springs Drive Pmb#2867, Suite 300, Richmond, VA 23225 | 2020-10-08 |
| 1134734957 | Ai H Garner | Nurse Practitioner | 7400 Beaufont Springs Drive Pmb# 2867, Suite 300, Richmond, VA 23225 | 2020-09-09 |
| 1659996023 | Amira Transport Inc. | Non-emergency Medical Transport (VAN) | 7400 Beaufont Springs Drive, Suite 300, North Chesterfield, VA 23225 | 2020-06-11 |
| 1548881352 | Kevin Raymond Tarlow | Psychologist | 2000 Riverside Drive, Apt. 6c, Richmond, VA 23225 | 2020-05-04 |
| 1619522000 | Spring Transport Inc | Non-emergency Medical Transport (VAN) | 2418 W Tremont Ct, Richmond, VA 23225 | 2019-08-02 |
| 1063976660 | Kelly Erin Mitchell | Nurse Practitioner | 7401 Beaufort Springs Dr, Suite 205, Richmond, VA 23225 | 2019-01-28 |
| 1760977540 | Marchett Hopkins | Counselor | 1601 Skilift Ln, Richmond, VA 23225 | 2018-06-25 |
| 1821582644 | Infinite Solutions Behavioral Services, LLC | Case Management | 6946 Forest Hill Ave Suite B, Richmond, VA 23225 | 2018-06-15 |
| 1922595230 | Andrea Ruth Steegmayer | Registered Nurse | Vcu Health System, 1250 E. Marshall Street, Richmond, VA 23225 | 2018-04-23 |
| 1306340153 | Eric Sheldon Jacobson | Internal Medicine | 2956 Hathaway Rd, Apt. 1101, Richmond, VA 23225 | 2018-03-19 |
| Find all providers in zip 23225 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265470645 | Orthovirginia, Inc. | Orthopaedic Surgery | 1115 Boulders Parkway, Suite 200, North Chesterfield, VA 23225-4067 | 2006-06-04 |
| 1821063439 | Joshua Paul Herzog | Orthopaedic Surgery | 1400 Johnston Willis Dr, Suite A, North Chesterfield, VA 23235-4765 | 2006-02-17 |
| 1952622243 | Peter Holland White | Orthopaedic Surgery | 1400 Johnston Willis Dr, Ste A, North Chesterfield, VA 23235-4765 | 2010-06-21 |
| 1194959387 | Robert B Rawles | Orthopaedic Surgery | 1400 Johnston Willis Dr, Suite A, North Chesterfield, VA 23235-4765 | 2009-05-04 |
| 1992916449 | Ryan Gocke | Orthopaedic Surgery | 1115 Boulders Pkwy Ste 100, North Chesterfield, VA 23225 | 2007-05-25 |
| 1891736153 | Steven Harris Jones | Orthopaedic Surgery | 1115 Boulders Pkwy, Suite 100, North Chesterfield, VA 23225-4067 | 2006-06-09 |
| 1891736484 | Christopher Kisok Kim | Orthopaedic Surgery | 1115 Boulders Pkwy, Suite 100, North Chesterfield, VA 23225-4067 | 2006-06-08 |
| 1386684975 | Dale Christopher Young | Orthopaedic Surgery | 1115 Boulders Pkwy, Suite 100, North Chesterfield, VA 23225-4067 | 2006-06-08 |
| 1093753345 | David Wayne Miller Sr. | Orthopaedic Surgery | 1115 Boulders Pkwy, Suite 100, North Chesterfield, VA 23225-4067 | 2006-06-02 |
| 1548214372 | Mark Edwin Deblois | Orthopaedic Surgery | 1115 Boulders Pkwy, Suite 100, North Chesterfield, VA 23225-4067 | 2006-05-19 |
| Find all providers in NORTH CHESTERFIELD | ||||
| City | NORTH CHESTERFIELD |
| Zip Code | 23225 |
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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.