WANDRA K. MILES, MD, PLLC (NPI# 1346418829) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346418829 |
| Entity Type | Organization |
| Organization Name | WANDRA K. MILES, MD, PLLC |
| Practice Address |
3137 Tongass Ave Ketchikan AK 99901-5745 |
| Mailing Address |
Po Box 50150 Bellevue WA 98015-0150 |
| Practice Telephone | 2062926226 |
| Practice Fax Number | 2066238825 |
| Mailing Telephone | 4252285228 |
| Enumeration Date | 2008-02-18 |
| Last Update Date | 2010-08-17 |
| Authorized Official Name | WANDRA K MILES (OWNER) |
| Authorized Official Telephone | 2062926226 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208200000X | Plastic Surgery | 4971 | AK | Allopathic & Osteopathic Physicians |
| Street Address |
3137 TONGASS AVE |
| City | KETCHIKAN |
| State | AK |
| Zip Code | 99901-5745 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306488572 | Tranquility Behavioral Telehealth LLC | Nurse Practitioner | 3137 Tongass Ave, Ketchikan, AK 99901-5745 | 2019-10-09 |
| 1508261702 | Shannon Rea Davis | Nurse Practitioner | 3137 Tongass Ave, Ketchikan, AK 99901-5745 | 2014-10-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992314215 | Residential Youth Care, Inc. | Community/Behavioral Health | 2442 Tongass Avenue, Ketchikan, AK 99901 | 2020-07-23 |
| 1316563026 | Residential Youth Care, Inc. | Community/Behavioral Health | 606 Hill Road, Ketchikan, AK 99901 | 2020-06-18 |
| 1043836851 | Residential Youth Care, Inc. | Community/Behavioral Health | 2514 1st Avenue, Ketchikan, AK 99901 | 2020-06-18 |
| 1215553029 | Residential Youth Care, Inc. | Community/Behavioral Health | 2951 Baranof Avenue, Ketchikan, AK 99901 | 2020-06-18 |
| 1174159222 | Helene Rae Simpson | Behavior Technician | 201 Deermont St, Ketchikan, AK 99901 | 2020-03-20 |
| 1003295155 | Suzanne Webb | Massage Therapist | 602 Dock St Ste 106, Ketchikan, AK 99901 | 2015-05-22 |
| 1093194342 | Kate Mortensen | Case Manager/Care Coordinator | 2690 Tongass Ave, Ketchikan, AK 99901 | 2015-05-20 |
| 1578879631 | Thomas Peter Ryan | Social Worker | 320 Bawden St. #318, Ketchikan, AK 99901 | 2010-08-27 |
| 1689820979 | Akeela Inc | Community Based Residential Treatment Facility, Mental Illness | 3050 Fifth Ave, Ketchikan, AK 99901 | 2008-08-18 |
| 1750565438 | Susan Marie Swift | Nurse Practitioner | 21 Jefferson Way, Suite 202, Psychiatry, Ketchikan, AK 99901 | 2007-12-18 |
| Find all providers in zip 99901 | ||||
| Taxonomy Code | 208200000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Plastic Surgery |
| A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497949697 | William W Wennen Md Facs | Plastic Surgery | 575 Riverstone Way, Unit 1, Fairbanks, AK 99709-2939 | 2007-08-30 |
| 1578928628 | Gagnon Plastic and Reconstructive Surgery | Plastic Surgery | 950 E Bogard Rd, Suite 209, Wasilla, AK 99654-7184 | 2015-12-16 |
| 1861776791 | Mat-su Plastic Surgery LLC | Plastic Surgery | 2490 S Woodworth Loop, Suite 310, Palmer, AK 99645-7405 | 2011-10-11 |
| 1659515237 | Aurora Plastic Surgery, LLC | Plastic Surgery | 1919 Lathrop St, Fairbanks, AK 99701-5930 | 2009-04-27 |
| 1871738674 | Plastic Surgeons of Alaska, LLC | Plastic Surgery | 2741 Debarr Rd Ste C215, Anchorage, AK 99508-2978 | 2008-12-08 |
| 1417070905 | Elliott B Gagnon | Plastic Surgery | 950 E Bogard Rd, Suite 209, Wasilla, AK 99654-7184 | 2007-04-09 |
| 1821114448 | Gregory Henry Dostal | Plastic Surgery | 3225 Hospital Dr, #102, Juneau, AK 99801 | 2007-03-22 |
| 1962533018 | Michael Manuel,md,pc | Plastic Surgery | 2741 Debarr Rd, C-215, Anchorage, AK 99508-2953 | 2007-03-08 |
| 1649380767 | Daniel William Suver | Plastic Surgery | 2741 Debarr Rd, Suite C215 Plastic Surgeons of Alaska, Anchorage, AK 99508-2978 | 2006-08-30 |
| 1003831488 | Michael D Manuel | Plastic Surgery | 2741 Debarr Rd Ste C215, Anchorage, AK 99508-2978 | 2006-07-13 |
| Find all providers with the same taxonomy | ||||
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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.