THOMAS PAUL MILES MD A MEDICAL CORPORATION (NPI# 1801196779) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1801196779 |
Entity Type | Organization |
Organization Name | THOMAS PAUL MILES MD A MEDICAL CORPORATION |
Practice Address |
1310 Prentice Dr Ste G Healdsburg CA 95448-5005 |
Practice Telephone | 7074732840 |
Practice Fax Number | 7074336184 |
Mailing Telephone | 7074732840 |
Mailing Fax Number | 7074336184 |
Enumeration Date | 2010-10-26 |
Last Update Date | 2010-10-26 |
Authorized Official Name | THOMAS PAUL MILES (OWNER/PRESIDENT) |
Authorized Official Telephone | 7074732840 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
G217290 | CA | Ambulatory Health Care Facilities |
Street Address |
1310 PRENTICE DR STE G |
City | HEALDSBURG |
State | CA |
Zip Code | 95448-5005 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891342002 | Linda Lazzar Friend | Marriage & Family Therapist | 2800 Hilltop Rd., Healdsburg, CA 95448 | 2019-08-22 |
1184124513 | Pacifica Sl Grove Street Lp | Alzheimer Center (Dementia Center) | 725 Grove Street, Healdsburg, CA 95448 | 2018-02-12 |
1073049284 | Jennifer Gnass | Counselor | 536 March Ave, Healdsburg, CA 95448 | 2017-05-08 |
1538523105 | Zormeier Cosmetic Surgery & Longevity Center | Plastic Surgery | 431 East Street Ste B, Healdsburg, CA 95448 | 2016-04-11 |
1619180700 | Sharron Levinger Rudell | Marriage & Family Therapist | 459 Hudson St, Healdsburg, CA 95448 | 2007-05-07 |
1932224490 | Stanley Winstonj Jacobs | Specialist | 145 Foss Creek Cir., Healdsburg, CA 95448 | 2007-03-20 |
1821126491 | Eric Culbertson | Surgery | 145 Foss Creek Cir, Healdsburg, CA 95448 | 2007-03-02 |
1265508790 | Stanley D Davis | Psychiatry & Neurology | 451 A March Ave, Healdsburg, CA 95448 | 2006-11-27 |
1306910559 | Christine Naber | Clinical Neuropsychologist | 455 March Ave Ste A, Healdsburg, CA 95448 | 2006-11-20 |
1700978947 | Marc Alexander | Dentist | 125 Grant Street, Healdsburg, CA 95448 | 2006-09-28 |
Find all providers in zip 95448 |
Taxonomy Code | 261QM2500X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Medical Specialty |
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
Notes: [7/1/2003: new] |
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City | HEALDSBURG |
Zip Code | 95448 |
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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.