NPIMap

Organization Active NPI

Jeffrey Miller, MD PLLC

  • Pain Medicine (Anesthesiology) Physician
  • Moore, OK
National Provider Identifier
1215328547
Registry record updated Mar 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
Legal business name
JEFFREY MILLER, MD PLLC
Practice address
1109 SW 30TH CT Ste a
Moore, OK 73160-2887
Phone
(405) 703-0937
Fax
(888) 290-8567
NPI assigned
Feb 9, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2026

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

Authorized official

Name
Jeffrey Miller, MDNPI 1508905704
Title
Physician/Owner
Phone
(405) 703-0937

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207LP2900X Primary

Addresses

Primary practice location

1109 SW 30TH CT Ste a
Moore, OK 73160-2887

Mailing address

1109 SW 30TH CT Ste a
Moore, OK 73160-2887
Phone (405) 703-0937

Other practice location 1

15132 Traditions Blvd
Edmond, OK 73013-1182
Phone (405) 703-0937 ext. 3

Other practice location 2

1703 Professional Cir Ste 101
Yukon, OK 73099-6497
Phone (405) 717-7955

Other names 1

  • Mind Mood Pain Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160822002224 OK Part B Supplier - Clinic/Group Practice 0244525863 Receives reassigned benefits from 6 practitioners
Practice locations: Edmond, OK; Moore, OK; Oklahoma City, OK; Yukon, OK

National Provider Directory

National Provider Directory

Locations

1109 SW 30th Ct
#A
Moore, OK 73160
Phone (405) 703-0937

1000 N Lincoln Blvd
Ste 150
Oklahoma City, OK 73104
Phone (405) 232-8696

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FGDIBD

Practitioners & affiliated clinicians

Practitioners 7

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

NPI Registry JSON

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

{
    "created_epoch": "1423440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772582400000",
    "number": "1215328547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1109 SW 30TH CT STE A",
            "city": "MOORE",
            "state": "OK",
            "postal_code": "731602887",
            "telephone_number": "405-703-0937",
            "fax_number": "888-290-8567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1109 SW 30TH CT STE A",
            "city": "MOORE",
            "state": "OK",
            "postal_code": "731602887",
            "telephone_number": "405-703-0937",
            "fax_number": "888-290-8567"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15132 Traditions Blvd",
            "address_purpose": "LOCATION",
            "city": "Edmond",
            "state": "OK",
            "postal_code": "730131182",
            "country_code": "US",
            "telephone_number": "405-703-0937 x3",
            "fax_number": "888-290-8567",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1703 Professional Cir Ste 101",
            "address_purpose": "LOCATION",
            "city": "Yukon",
            "state": "OK",
            "postal_code": "730996497",
            "country_code": "US",
            "telephone_number": "405-717-7955",
            "fax_number": "888-290-8567",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JEFFREY MILLER, MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-09",
        "last_updated": "2026-03-04",
        "certification_date": "2026-03-04",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "405-703-0937",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mind Mood Pain",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Moore, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2026; 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.