Millennium Medical Services, L.L.C.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

MILLENNIUM MEDICAL SERVICES, L.L.C.

Practice address

221 W 3Rd St
Hobart, OK 73651-3603

Phone

(888) 573-7792

Fax

(888) 753-8162

NPI assigned

Dec 4, 2013

Organization subpart

Yes

Parent organization

MILLENNIUM MEDICAL SERVICES, L.L.C.As reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Wade L Hamil, PHDNPI 1750311247

Title

Ceo

Phone

(405) 627-0276

Specialties & licenses 5

Addresses

Other identifiers 1

Other names 1

• Hobart Clinic Other name

Tax ID family

Millenium Med Services LLC4 organizations share this tax ID, including this one

Part of

Millenium Med Services LLC

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

• Millennium Medical Services LLC

  • Psychiatry Physician
  • Duncan, OK
  • NPI 1508486309
  NPD tax ID
• Millennium Medical Services, L.L.C.

  • Psychiatry Physician
  • Enid, OK
  • NPI 1295128981
  NPD tax ID
• Millennium Medical Services, L.L.C.

  • Psychiatry Physician
  • Poteau, OK
  • NPI 1568897585
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Wade L Hamil, PHD

  • Clinical Neuropsychologist
  • Norman, OK
  • NPI 1750311247
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1386115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587513600000",
    "number": "1013348846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3816 SHADOWRIDGE DR STE 101",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730725308",
            "telephone_number": "405-573-9905",
            "fax_number": "888-753-8162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 W 3RD ST",
            "city": "HOBART",
            "state": "OK",
            "postal_code": "736513603",
            "telephone_number": "888-573-7792",
            "fax_number": "888-753-8162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLENNIUM MEDICAL SERVICES, L.L.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MILLENNIUM MEDICAL SERVICES, L.L.C.",
        "enumeration_date": "2013-12-04",
        "last_updated": "2020-04-22",
        "certification_date": "2020-04-22",
        "status": "A",
        "authorized_official_last_name": "HAMIL",
        "authorized_official_first_name": "WADE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "405-627-0276",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200004820E",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hobart Clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jay Lynn Kruska, DDS
• Akemi Michelle Maxwell
• Lindsey Paige McDaugale, LPC
• Michael Doyle Krieger MD
• Millennium Community Services, LLC
• Steve Miller, DPH
• Craig Beaty Moore, MD
• Joann Morales, LMFT
• Dana Norris
• North Hill Medical Center LLC

• Psychiatry Physician in Hobart, OK
• Providers in Hobart, OK by specialty
• Psychiatry Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.