David W Miller, MD

Primary specialty

Emergency Medical Services (Emergency Medicine) PhysicianTaxonomy code 207PE0004X

License

20875 Issued in OK

Practice address

503 S Aspen
Broken Arrow, OK 74127-9020

Phone

(918) 286-6331

NPI assigned

Oct 13, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OK

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Williams Medical Group Practice, LLC

  • Family Medicine Physician
  • Lawton, OK
  • NPI 1346608809
  Medicare reassignment
• Southcrest Emergency Physicians PC

  • Emergency Medical Services (Emergency Medicine) Physician
  • Tulsa, OK
  • NPI 1205816048
  NPD (past)
• Sterling Emergency Services of Oklahoma, Inc.

  • Nurse Practitioner
  • Tulsa, OK
  • NPI 1366480295
  NPD (past)
• DCS Medical PA

  • Rural Health Clinic/Center
  • Bonham, TX
  • NPI 1063138741
  NPD (past)

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

{
    "created_epoch": "1129161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280188800000",
    "number": "1174511042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DEPT. 672",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741820001",
            "telephone_number": "866-321-8433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 S ASPEN",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "741279020",
            "telephone_number": "918-286-6331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "DAVID",
        "middle_name": "W",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-13",
        "last_updated": "2010-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "OK",
            "license": "20875",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100021790B",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Benedict Johnson Middleton IV, FNP-C
• Tara Lynn Midgley, COTA/L
• Midwest Cpap and Sleep Technologies
• Dawn Mihok
• Anthea Miller
• Heather Miller
• Heather Miller
• Jenna Jane Miller
• Lori Colleen Miller, D.O.
• Rochelle Ann Miller

• Emergency Medical Services (Emergency Medicine) Physician in Broken Arrow, OK
• Providers in Broken Arrow, OK by specialty
• Emergency Medical Services (Emergency Medicine) Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.