Millennium Medical Services, L.L.C.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

MILLENNIUM MEDICAL SERVICES, L.L.C.

Practice address

1212 Reynolds Ave
Poteau, OK 74953-4724

Phone

(888) 573-7792

Fax

(888) 753-8162

NPI assigned

Sep 10, 2013

Last updated

Apr 22, 2020By the provider in NPPES

Organization subpart

Yes

Parent organization

MILLENNIUM MEDICAL SERVICES, L.L.C.As reported in NPPES

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

Authorized official

Name

Dr. Wade L Hamil, PHDNPI 1750311247

Title

Ceo

Phone

(405) 627-0276

Specialties & licenses 5

Addresses

Other identifiers 1

Other names 1

• Poteau Clinic Other name

Tax ID family

Millenium Med Services LLC4 organizations share this tax ID, including this one

Part of

Millenium Med Services LLC

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

• Millennium Medical Services LLC

  • Psychiatry Physician
  • Duncan, OK
  • NPI 1508486309
  NPD tax ID
• Millennium Medical Services, L.L.C.

  • Psychiatry Physician
  • Hobart, OK
  • NPI 1013348846
  NPD tax ID
• Millennium Medical Services, L.L.C.

  • Psychiatry Physician
  • Enid, OK
  • NPI 1295128981
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Wade L Hamil, PHD

  • Clinical Neuropsychologist
  • Norman, OK
  • NPI 1750311247
  NPD (past) Authorized official

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

{
    "created_epoch": "1378771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587513600000",
    "number": "1568897585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3816 SHADOWRIDGE DR",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730725308",
            "telephone_number": "888-573-7792",
            "fax_number": "888-753-8162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 REYNOLDS AVE",
            "city": "POTEAU",
            "state": "OK",
            "postal_code": "749534724",
            "telephone_number": "888-573-7792",
            "fax_number": "888-753-8162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLENNIUM MEDICAL SERVICES, L.L.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MILLENNIUM MEDICAL SERVICES, L.L.C.",
        "enumeration_date": "2013-09-10",
        "last_updated": "2020-04-22",
        "certification_date": "2020-04-22",
        "status": "A",
        "authorized_official_last_name": "HAMIL",
        "authorized_official_first_name": "WADE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "405-627-0276",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200004820D",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Poteau Clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Nancy Christene Merritt, D.O.
• Meygan Mode Aprn-CNP PLLC
• Kendra Leann Miles, BHCMII
• Millennium Community Mental Health Services LLC
• Millennium Community Services, LLC
• Shantel Larea Miller, COTA/L
• Trena Miller
• Sabrina Milligan, LPN
• Mindful Well Being Counseling Services LLC
• Sabrina Danielle Minor

• Psychiatry Physician in Poteau, OK
• Providers in Poteau, OK by specialty
• Psychiatry Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2020; 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.