Organization Active NPI

Miller Health and Wellness Inc

  • Family Medicine Physician
  • Tulsa, OK
National Provider Identifier
1063605863
Registry record updated Oct 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
E09660 Issued in OK
Legal business name
MILLER HEALTH AND WELLNESS INC
Practice address
2865 E Skelly Dr Ste 300
Tulsa, OK 74105-6220
Phone
(918) 742-1996
Fax
(918) 742-5995
NPI assigned
Aug 24, 2007
Last updated
Oct 25, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2024

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

Authorized official

Name
Dr. Ruth A Miller, D.O.NPI 1700857349
Title
Medical Doctor
Phone
(918) 742-1996

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X NU
Family Medicine Physician 207Q00000X E09660 OK Primary

Addresses

Primary practice location

2865 E Skelly Dr Ste 300
Tulsa, OK 74105-6220

Mailing address

2865 E Skelly Dr Ste 300
Tulsa, OK 74105-6220
Phone (918) 742-1996

Other practice location 1

6135 S 90th East Ave
Tulsa, OK 74133-6365
Phone (918) 742-1996

Other identifiers 1

IdentifierTypeStateIssuer
1063605863OtherOKNPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090114000601 OK Part B Supplier - Clinic/Group Practice 4587727789 Receives reassigned benefits from 1 practitioner
Practice locations: Tulsa, OK

National Provider Directory

National Provider Directory

Locations

2865 E Skelly Dr
Ste 300
Tulsa, OK 74105
Phone (918) 742-1996

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8849/brand/1/csg/1/fhir/r4

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": "1187913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729814400000",
    "number": "1063605863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2865 E SKELLY DR STE 300",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741056220",
            "telephone_number": "918-742-1996",
            "fax_number": "918-742-5995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2865 E SKELLY DR STE 300",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741056220",
            "telephone_number": "918-742-1996",
            "fax_number": "918-742-5995"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6135 S 90th East Ave",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "741336365",
            "country_code": "US",
            "telephone_number": "918-742-1996",
            "fax_number": "918-742-5995",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MILLER HEALTH AND WELLNESS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-24",
        "last_updated": "2024-10-25",
        "certification_date": "2024-10-25",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "RUTH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "918-742-1996",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "E09660",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1063605863",
            "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 Oct 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.