Active NPI
Philip B Miner Jr MD Inc
- Internal Medicine Physician
- Oklahoma City, OK
National Provider Identifier
1235326893
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 19647
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DE9317 | Other | OK | MC RR |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Physician Assistant
- Oklahoma City, OK
- NPI 1881603827
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.