Active NPI
Euan Murray McMillan, M.D.
- Dermatology Physician
- Oklahoma City, OK
National Provider Identifier
1285632422
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 12875
- Practice address
- 4320 Saint Gregory Dr
Oklahoma City, OK 73120-8332 - Phone
- (405) 752-1800
- NPI assigned
- Jul 12, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 12875 | OK | Primary |
| Clinical & Laboratory Dermatological Immunology Physician | 207NI0002X | 12875 | OK | |
| Pediatric Dermatology Physician | 207NP0225X | 12875 | OK | |
| Dermatopathology Physician | 207ND0900X | 12875 | OK |
Addresses
Primary practice location
4320 Saint Gregory Dr
Oklahoma City, OK 73120-8332
Mailing address
4320 Saint Gregory Dr
Oklahoma City, OK 73120-8332
Phone (405) 752-1800
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 070001248 | Other | RAILROAD MEDICARE | |
| 37D0471394 | Other | OK | C.L.I.A. |
| 731248896-001 | Other | OK | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12875 | OK | MD | Dermatology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1254700800000",
"number": "1285632422",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4320 SAINT GREGORY DR",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731208332",
"telephone_number": "405-752-1800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4320 SAINT GREGORY DR",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731208332",
"telephone_number": "405-752-1800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCMILLAN",
"first_name": "EUAN",
"middle_name": "MURRAY",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-07-12",
"last_updated": "2009-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "OK",
"license": "12875",
"primary": true
},
{
"code": "207NI0002X",
"taxonomy_group": "",
"desc": "Dermatology, Clinical & Laboratory Dermatological Immunology",
"state": "OK",
"license": "12875",
"primary": false
},
{
"code": "207NP0225X",
"taxonomy_group": "",
"desc": "Dermatology, Pediatric Dermatology",
"state": "OK",
"license": "12875",
"primary": false
},
{
"code": "207ND0900X",
"taxonomy_group": "",
"desc": "Dermatology, Dermatopathology",
"state": "OK",
"license": "12875",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "070001248",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "C.L.I.A.",
"identifier": "37D0471394",
"state": "OK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "731248896-001",
"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 Oct 5, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.