NPIMap

Organization Active NPI

Archibald S Miller MD PC

  • Specialist
  • Tulsa, OK
National Provider Identifier
1033326905
Registry record updated Aug 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
15356 Issued in OK
Legal business name
ARCHIBALD S MILLER MD PC
Practice address
6585 S Yale Ave
Suite 315
Tulsa, OK 74136-8316
Phone
(918) 492-2282
Fax
(918) 491-9188
NPI assigned
May 17, 2007
Last updated
Aug 15, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2013

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

Authorized official

Name
Archibald S Miller III, MDNPI 1336169952
Title
President
Phone
(918) 492-2282

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
Specialist 174400000X 15356 OK Primary

Addresses

Primary practice location

6585 S Yale Ave
Suite 315
Tulsa, OK 74136-8316

Mailing address

6585 S Yale Ave
Suite 315
Tulsa, OK 74136-8316
Phone (918) 492-2282

Other identifiers 1

IdentifierTypeStateIssuer
100013190AMedicaidOK

National Provider Directory

National Provider Directory

Locations

6585 S Yale Ave
Ste 315
Tulsa, OK 74136
Phone (918) 492-2282

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": "1179360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376524800000",
    "number": "1033326905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6585 S YALE AVE",
            "address_2": "SUITE 315",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741368316",
            "telephone_number": "918-492-2282",
            "fax_number": "918-491-9188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6585 S YALE AVE",
            "address_2": "SUITE 315",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741368316",
            "telephone_number": "918-492-2282",
            "fax_number": "918-491-9188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARCHIBALD S MILLER MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-17",
        "last_updated": "2013-08-15",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "ARCHIBALD",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "918-492-2282",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "OK",
            "license": "15356",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100013190A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Aug 15, 2013; 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.