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).
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 |
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 |
Address | Telephone Number | Fax Number |
---|---|---|
401 Us 23, Greenup, KY 411441074 | 6062256072 |
Street Address |
379 STANAFORD RD |
City | BECKLEY |
State | WV |
Zip Code | 25801-3141 |
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 |
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 Code | 246ZE0600X |
Grouping | Technologists, Technicians & Other Technical Service Providers |
Classification | Specialist/Technologist, Other |
Specialization | Electroneurodiagnostic |
Definition to come... |
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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.