Organization Active NPI

Miriam V Mills

Doing business as Mills Manual Medicine

  • Pediatrics Physician
  • Tulsa, OK
National Provider Identifier
1013476464
Registry record updated Mar 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
MIRIAM V MILLS
Doing business as
Mills Manual Medicine
Practice address
3401 E 21St St
Tulsa, OK 74114-1958
Phone
(918) 439-4434
NPI assigned
Mar 15, 2019
Last updated
Mar 15, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2019

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

Authorized official

Name
Dr. Miriam V Mills, M.D.NPI 1205997582
Title
Owner/Operator
Phone
(183) 829-0859

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

3401 E 21St St
Tulsa, OK 74114-1958

Mailing address

710 S Phoenix Ave
Tulsa, OK 74127-8835
Phone (918) 382-9085

Other names 1

  • Mills Manual Medicine Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1552608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552608000000",
    "number": "1013476464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 S PHOENIX AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741278835",
            "telephone_number": "918-382-9085",
            "fax_number": "918-382-9085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 E 21ST ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741141958",
            "telephone_number": "918-439-4434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRIAM V MILLS",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-15",
        "last_updated": "2019-03-15",
        "status": "A",
        "authorized_official_last_name": "MILLS",
        "authorized_official_first_name": "MIRIAM",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "183-829-0859",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mills Manual Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tulsa, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2019; 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.