DR. MARK A MILES (NPI# 1053306159) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053306159 |
| Entity Type | Individual |
| Full Name | DR. MARK A MILES |
| Credential | PH.D. |
| Practice Address |
332 N Lauderdale St Memphis TN 38105-2794 |
| Practice Telephone | 9014953006 |
| Practice Fax Number | 9014953842 |
| Mailing Telephone | 9014953006 |
| Mailing Fax Number | 9014953842 |
| Enumeration Date | 2005-09-14 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
2302 | TN | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 5440556 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598792384 | Mark R Miles | Family Medicine | 1875 University Ave S, Unit 1, Fairbanks, AK 99709-4906 | 2006-06-27 |
| 1073590980 | Mark Campbell Miles | Physical Therapist | 1007 Harbor Hills Dr, Suite A, Marquette, MI 49855-8859 | 2005-12-30 |
| 1174579379 | Mark L Miles | Family Medicine | 3021 Reidville Rd, Spartanburg, SC 29301-5643 | 2006-05-26 |
| 1255335287 | Mark G Miles | Internal Medicine | 3433 Nw 56th St, Ste 580, Oklahoma City, OK 73112-4420 | 2005-06-08 |
| Street Address |
332 N LAUDERDALE ST |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38105-2794 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194710376 | Carla London | Nurse Practitioner | 332 N Lauderdale St, Memphis, TN 38105-2794 | 2005-09-14 |
| 1356518237 | Lindsay Margaret Chapman | Nurse Practitioner | 332 N Lauderdale St, Memphis, TN 38105-2729 | 2008-05-10 |
| 1932322989 | David Perry Roberge | Radiology | 332 N Lauderdale St, Memphis, TN 38105-2729 | 2007-04-10 |
| 1912955352 | Nicole A Mortier | Physician Assistant | 332 N Lauderdale St, Memphis, TN 38105-2794 | 2006-05-05 |
| 1487602132 | William H. Schultz | Physician Assistant | 332 N Lauderdale St, Memphis, TN 38105-2794 | 2006-05-05 |
| 1609853332 | Tracy L Kaluzny | Nurse Practitioner | 332 N Lauderdale St, Ms 106, Memphis, TN 38105-2729 | 2005-12-23 |
| 1427035153 | Marion L Donohoe | Nurse Practitioner | 332 N Lauderdale St, Ms 600, Memphis, TN 38105-2729 | 2005-12-23 |
| 1972580603 | Vicki S Frederick | Nurse Practitioner | 332 N Lauderdale St, Ms 106, Memphis, TN 38105-2729 | 2005-12-23 |
| 1962489609 | Myra T Hazard | Nurse Practitioner | 332 N Lauderdale St, Ms 735, Memphis, TN 38105-2794 | 2005-12-23 |
| 1417934167 | Vanessa C Howard | Nurse Practitioner | 332 N Lauderdale St, Ms 351, Memphis, TN 38105-2729 | 2005-12-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447887435 | Leeanne Chittom Mcdonald | Dietitian, Registered | Ulps Surgery, 2nd Floor, 50 N. Dunlap, Memphis, TN 38105 | 2020-03-27 |
| 1619508942 | Victoria Mackay | Physician Assistant | 595 Danny Thomas Place, Memphis, TN 38105 | 2020-01-27 |
| 1720436710 | Angela Marie Pratt | Nurse Practitioner | 262 Danny Thomas Blvd, Memphis, TN 38105 | 2016-05-31 |
| 1326434465 | Amanda Green | Pediatrics | 262 N Danny Thomas Blvd # Ms 320, Memphis, TN 38105 | 2015-04-15 |
| 1467864173 | Nicole Mary Alberts | Psychologist | 262 Danny Thomas Place, Mail Stop 740, Department of Psychology, St Jude Children's Research H, Memphis, TN 38105 | 2014-05-29 |
| 1689004160 | Virginia Carney | Dietitian, Registered | 262 Danny Thomas Place - Mail Stop 732, Memphis, TN 38105 | 2013-11-19 |
| 1447506365 | Nickhill Hitesh Bhakta | Pediatrics | 262 Danny Thomas Way, Ms 721, Memphis, TN 38105 | 2012-07-29 |
| 1457622235 | Healthy Indigent Populations Inc. | Exclusive Provider Organization | 1066 Delmar, Memphis, TN 38105 | 2012-01-25 |
| 1285953265 | Nicholas Steve Phillips | Student in an Organized Health Care Education/Training Program | 262 Danny Thomas Place, Mail Stop 735, Memphis, TN 38105 | 2010-05-31 |
| 1205151776 | Kyle Joseph Morgan | Anesthesiology | 262 Danny Thomas Pl Dept Of, Memphis, TN 38105 | 2010-03-28 |
| Find all providers in zip 38105 | ||||
| Taxonomy Code | 103TC2200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical Child & Adolescent |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538606728 | Jennifer Allen | Psychologist | 262 Danny Thomas Pl, Memphis, TN 38105-3678 | 2017-01-25 |
| 1942603204 | Victoria W Willard | Psychologist | 262 Danny Thomas Pl, Mail Stop 740, Memphis, TN 38105-3678 | 2014-10-01 |
| 1427470624 | Angelica Eddington | Psychologist | 51 N Dunlap St, 3rd Floor, Memphis, TN 38105-4625 | 2014-01-08 |
| 1275862922 | Kendra Parris | Psychologist | 262 Danny Thomas Pl, Memphis, TN 38105-3678 | 2009-12-09 |
| 1992954747 | Megan L Wilkins | Psychologist | 262 Danny Thomas Pl, Memphis, TN 38105-3678 | 2008-09-17 |
| 1154389989 | Melissa L Hoffmann | Psychologist | 1910 Nonconnah Blvd, Suite 120, Memphis, TN 38132-2113 | 2006-05-02 |
| 1023003548 | Sean Phipps | Psychologist | 262 Danny Thomas Pl, Memphis, TN 38105-3678 | 2005-09-12 |
| 1932194453 | Vida L Tyc | Psychologist | 262 Danny Thomas Pl, Memphis, TN 38105-3678 | 2005-09-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629551932 | Amy Monn | Psychologist | 1604 Westgate Cir Ste 220, Brentwood, TN 37027-8580 | 2018-09-12 |
| 1881172922 | Elisabeth Quintrell Sweeney | Psychologist | 2209 Abbott Martin Rd, Suite 100, Nashville, TN 37215 | 2018-07-31 |
| 1407269384 | Arianna Boddy | Psychologist | 150 Fox Rd, Knoxville, TN 37922-3303 | 2014-06-09 |
| 1205265410 | Daniel J Williams, Psyd, LLC | Psychologist | 108 West Summit Hill Dr., Knoxville, TN 37902 | 2013-11-07 |
| 1881940237 | Richard Pitcock | Psychologist | 1417 Randy Rd, Ashland City, TN 37015-2815 | 2012-08-02 |
| 1053501932 | Deborah Anne Vanslyke | Psychologist | Vanderbilt Children's Hospital, 2200 Children's Way, Nashville, TN 37232-0001 | 2007-07-27 |
| 1245392760 | Barbara L Taylor | Psychologist | 2341 Jones Bend Road, Louisville, TN 37777 | 2006-12-14 |
| 1508967423 | Hughes Mcdaniel & Associates Plc | Psychologist | 131 Sanders Ferry Rd, # 203, Hendersonville, TN 37075-3662 | 2006-09-25 |
| 1679527287 | Susan Cohn Koller | Psychologist | 305 Westfield Dr, Knoxville, TN 37919-4824 | 2006-05-19 |
| 1205443736 | Jessica Schwartzman | Psychologist | 1500 21st Ave S Ste 2200, Nashville, TN 37212-3137 | 2020-09-29 |
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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.