MILES BURTON ANDREW (NPI# 1689692188) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689692188 |
| Entity Type | Individual |
| Full Name | MILES BURTON ANDREW |
| Credential | M.D. |
| Practice Address |
230 E Day Rd Suite 130 Mishawaka IN 46545-3408 |
| Mailing Address |
707 E Cedar St Ste 200 South Bend IN 46617-2057 |
| Practice Telephone | 5743357650 |
| Practice Fax Number | 5743350736 |
| Mailing Telephone | 5743358700 |
| Mailing Fax Number | 5743350760 |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2016-09-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 01040450A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 100380840A | 05 | |
| IN | 100380840 | 05 | |
| IN | BCBS | 000000889511 | 01 |
| Street Address |
230 E DAY RD SUITE 130 |
| City | MISHAWAKA |
| State | IN |
| Zip Code | 46545-3408 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861496432 | David F. Sonego | Specialist | 230 E Day Rd, # 160, Mishawaka, IN 46545-3463 | 2005-06-10 |
| 1821474743 | Truelove Sleep Solutions, Inc | Dentist | 230 E Day Rd, Suite 150, Mishawaka, IN 46545-3408 | 2015-08-03 |
| 1891100020 | Lauren Sanchez | Optometrist | 230 E Day Rd, Ste 100, Mishawaka, IN 46545-3408 | 2014-06-26 |
| 1609161686 | Kevin Ray Baxter | Ophthalmology | 230 E Day Rd, Ste 100, Mishawaka, IN 46545-3408 | 2011-06-17 |
| 1508155664 | Physicians Holistic Health Alliance, LLC | Family Medicine | 230 E Day Rd, Suite 180, Mishawaka, IN 46545-3408 | 2011-03-29 |
| 1003076530 | Stephanie Marie Baxter | Optometrist | 230 E Day Rd, Ste 100, Mishawaka, IN 46545-3408 | 2008-06-09 |
| 1063575108 | David F Sonego Md PC & Associates | Counselor | 230 E Day Rd, Ste 160, Mishawaka, IN 46545-3463 | 2006-12-19 |
| 1104854942 | Andrew R Anderson | Optometrist | 230 E Day Rd, 100, Mishawaka, IN 46545-3408 | 2006-06-29 |
| 1063460160 | Institute for Orthopedic and Nerve Surgery | Orthopaedic Surgery | 230 E Day Rd, Suite 130, Mishawaka, IN 46545-3408 | 2006-05-04 |
| 1093774630 | Jennifer Smith Cummings | Psychologist | 230 E Day Rd, #160, Mishawaka, IN 46545-3463 | 2006-03-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649824103 | Senior Helpers | In Home Supportive Care | 230 Catalpa Drive Suite B, Mishawaka, IN 46545 | 2019-08-01 |
| 1093272114 | Candice Marie Greathouse | Physical Therapy Assistant | 3630 Hickory Road, Mishawaka, IN 46545 | 2019-02-25 |
| 1639662596 | Mishawaka Rcf Lp | Assisted Living Facility | 3630 Hickory Rd, Mishawaka, IN 46545 | 2018-06-14 |
| 1760907299 | Timothy John Howard | Emergency Medicine | 610 1/2 N Main Street, Apartment 1, Mishawaka, IN 46545 | 2017-08-05 |
| 1699203612 | Paridhie Vasudevan | Dentist | 6502 Grape Rd Ste 882, Mishawaka, IN 46545 | 2017-06-03 |
| 1780134650 | Ossip Optometry, PC | Optometrist | 5111 N. Main Street, Suite 200, Mishawaka, IN 46545 | 2016-10-04 |
| 1457730038 | Melissa Anne Douthit | Nurse Practitioner | 3665 Park Pl W Ste 300, Mishawaka, IN 46545 | 2015-05-28 |
| 1558759654 | Spine and Joint Associates of Plymouth, Inc | Chiropractor | 229 Red Coach, Suite 106, Mishawaka, IN 46545 | 2014-12-26 |
| 1609264795 | Spine and Joint Associates of Mishawaka, Inc | Chiropractor | 229 Red Coach Trail, Suite 106, Mishawaka, IN 46545 | 2014-12-26 |
| 1508260795 | Maribel Smith | Counselor | 2989 Heritage Ct, Mishawaka, IN 46545 | 2014-10-16 |
| Find all providers in zip 46545 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225082878 | Saint Joseph Regional Medical Center, Inc. | Dermatology | 611 E Douglas Rd Ste 309, Mishawaka, IN 46545-1467 | 2006-05-19 |
| 1407846967 | Todd W Rozycki | Dermatology | 1802 Day Rd, Mishawaka, IN 46545-4329 | 2005-10-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457998692 | Medovate, LLC | Dermatology | 9305 Calumet Ave Ste A1, Munster, IN 46321-2888 | 2019-12-06 |
| 1386107829 | Strausburg Dermatology Group LLC | Dermatology | 92 S Park Blvd, Greenwood, IN 46143-8836 | 2019-04-11 |
| 1467834127 | Emily W Shelley | Dermatology | 8433 Harcourt Rd Ste 310, Indianapolis, IN 46260-2198 | 2015-06-18 |
| 1396133518 | Forefront Dermatology, S.c. | Dermatology | 188 State Road 129 S. Ste B, Batesville Medical Arts Bldg, Batesville, IN 47006 | 2014-12-23 |
| 1003211392 | Forefront Dermatology, S.c. | Dermatology | 1473 N Gardner St Ste A, C/o Scott Memorial Hospital, Scottsburg, IN 47170 | 2014-10-29 |
| 1639580152 | Nikolajs Perdue | Dermatology | 6820 Parkdale Pl Ste 211, Indianapolis, IN 46254-6600 | 2014-05-19 |
| 1356785778 | Larry Gene Bond | Dermatology | 9637 W. County Rd 200 N., Frankfort, IN 46041 | 2013-04-29 |
| 1093057911 | Matthew Bradley Strausburg | Dermatology | 9292 N Meridian St Ste 210, Indianapolis, IN 46260-1828 | 2013-03-18 |
| 1730430513 | Robert Marshall Weiss | Dermatology | 6017 Benchmark-one, Floyds Knobs, IN 47119-9410 | 2012-09-20 |
| 1346597655 | Franciscan Medical Specialists | Dermatology | 757-45th Street, Ste 201, Munster, IN 46321 | 2012-08-07 |
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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.