Organization Active NPI

Philip B Miner Jr MD Inc

  • Internal Medicine Physician
  • Oklahoma City, OK
National Provider Identifier
1235326893
Registry record updated Sep 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
19647 Issued in OK
Legal business name
PHILIP B MINER JR MD INC
Practice address
1000 N Lincoln Blvd Ste 210
Oklahoma City, OK 73104-3252
Phone
(405) 271-4644
Fax
(405) 271-3296
NPI assigned
Sep 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2007

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

Authorized official

Name
Mrs. Sherry L Wolfenkoehler
Title
Bus Ofc MGR
Phone
(405) 691-4703

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 19647 OK Primary

Addresses

Primary practice location

1000 N Lincoln Blvd Ste 210
Oklahoma City, OK 73104-3252

Mailing address

1000 N Lincoln Blvd Ste 210
Oklahoma City, OK 73104-3252
Phone (405) 271-4644

Other identifiers 1

IdentifierTypeStateIssuer
DE9317OtherOKMC RR

National Provider Directory

National Provider Directory

Locations

1000 N Lincoln Blvd
Ste 210
Oklahoma City, OK 73104
Phone (405) 271-4644

Practitioners & affiliated clinicians

Practitioners 1

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": "1190851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190851200000",
    "number": "1235326893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 N LINCOLN BLVD STE 210",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731043252",
            "telephone_number": "405-271-4644",
            "fax_number": "405-271-3296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 N LINCOLN BLVD STE 210",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731043252",
            "telephone_number": "405-271-4644",
            "fax_number": "405-271-3296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILIP B MINER JR MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-27",
        "last_updated": "2007-09-27",
        "status": "A",
        "authorized_official_last_name": "WOLFENKOEHLER",
        "authorized_official_first_name": "SHERRY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "BUS OFC MGR",
        "authorized_official_telephone_number": "405-691-4703",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "OK",
            "license": "19647",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MC RR",
            "identifier": "DE9317",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2007; 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.