MILES FLINT PUCKETT


Address: 379 Stanaford Rd, Beckley, WV 25801-3141
Phone: 6062256072

MILES FLINT PUCKETT (NPI# 1770052268) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1770052268
Entity Type Individual
Full Name MILES FLINT PUCKETT
Credential MBA, CCMA
Practice Address 379 Stanaford Rd
Beckley
WV 25801-3141
Mailing Address Po Box 342
Paintsville
KY 41240-0342
Practice Telephone 6062256072
Enumeration Date 2018-11-14
Last Update Date 2018-11-14
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 246ZE0600X Specialist/Technologist, Other
Specialization: Electroneurodiagnostic
Technologists, Technicians & Other Technical Service Providers
N 2471M1202X Radiologic Technologist
Specialization: Magnetic Resonance Imaging
Technologists, Technicians & Other Technical Service Providers
N 374700000X Technician Nursing Service Related Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
401 Us 23, Greenup, KY 411441074 6062256072

Office Location

Street Address 379 STANAFORD RD
City BECKLEY
State WV
Zip Code 25801-3141

Providers in the same location

NPI Name Taxonomy Address Enumeration
1487651717 Oluyemisi R. Sangodeyi Surgery 379 Stanaford Rd, Beckley, WV 25801-3141 2005-07-01
1073071627 Donna Miller Social Worker 379 Stanaford Rd, Beckley, WV 25801-3141 2019-03-03
1194200147 Stephanie Diane Lilly Nurse Practitioner 379 Stanaford Rd, Beckley, WV 25801-3141 2018-09-26
1063943678 Med Surg Physician Group, Inc. Specialist 379 Stanaford Rd, Beckley, WV 25801-3141 2017-03-24
1104368505 Med Surg Group, Inc. Clinic/Center 379 Stanaford Rd, Beckley, WV 25801-3141 2016-11-16
1164822987 Kelly Lynne Matherly Nurse Practitioner 379 Stanaford Rd, Beckley, WV 25801-3141 2014-08-28
1003127432 Ahmad Eter Internal Medicine 379 Stanaford Rd, Beckley, WV 25801-3141 2010-06-30
1326069170 Med-surg Group Incorporated Family Medicine 379 Stanaford Rd, Beckley, WV 25801-3141 2006-07-21
1821029190 Judith K. Mckinney Nurse Practitioner 379 Stanaford Rd, Beckley, WV 25801-3141 2006-07-05
1427086727 Barry Alan Levin Orthopaedic Surgery 379 Stanaford Rd, Beckley, WV 25801-3141 2006-06-28
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1144835190 Misty Dawn Chambers Psychologist 154 Lagoon Way, Beckley, USA 25801 2020-09-15
1912511437 Katherine Lynne Mcghee Technician 120 Schlager Dr., Beckley, WV 25801 2020-09-02
1255942421 Tyesha Burger Technician 442 Industrial Dr, Beckley, WV 25801 2020-08-12
1053920553 Angela Sanches Case Manager/Care Coordinator 134 Gooseberry Ln, Beckley, WV 25801 2020-07-30
1871119933 Tiffani Michelle Dale Counselor 111 Coral Court, Apt 5, Beckley, WV 25801 2020-06-24
1679046049 Liberty Dental Centers Dentist 102 Galleria Plaza, Beckley, WV 25801 2019-01-08
1952884942 Susan Rae Rash Nurse Practitioner 250 Stanaford Rd Ste 203, Beckley, WV 25801 2018-09-14
1689169039 Megan Rae Walker Dentist 3153 Robert C. Byrd Drive, Beckley, WV 25801 2018-06-28
1104318625 Mountain State Vascular, Inc. Surgery 121 George Street, Beckley, WV 25801 2018-05-31
1356841100 Harper Road Treatment Center LLC Family Medicine 1802 Harper Rd Ste 202, Beckley, WV 25801 2018-02-19
Find all providers in zip 25801

Taxonomy Information

Taxonomy Code 246ZE0600X
Grouping Technologists, Technicians & Other Technical Service Providers
Classification Specialist/Technologist, Other
Specialization Electroneurodiagnostic

Taxonomy Definition

Definition to come...

Competitor

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City BECKLEY
Zip Code 25801

Improve Information

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Dataset Information

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.

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