Andrea Janae Miller, DO

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

4102 Issued in OK

Practice address

2900 S Telephone Rd Ste 200
Moore, OK 73160-2971

Phone

(405) 425-8100

Fax

(405) 425-8119

NPI assigned

Jun 6, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Andrea Janae Moore Former name

Medicare fee-for-service enrollment

Enrolled in OK

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Obstetrics/Gynecology

Education

Oklahoma State University College of Osteopathic Medicine, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Integris Ambulatory Care CorporationGroup PAC ID 2365408465, 687 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Integris Southwest Medical Center Hospital, Oklahoma City, OK, CCN 370106
• O U Medical Center Hospital, Oklahoma City, OK, CCN 370093

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: amiller14445@direct.integrisok.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Integris Ambulatory Care Corporation

  dba INTEGRIS Medical Group

  • Family Medicine Physician
  • Oklahoma City, OK
  • NPI 1750333936

  Obstetrics & Gynecology

  Medicare reassignment Care Compare group NPD
• Integris Ambulatory Care C Orporation

  dba ProHealth Physicians

  • Family Medicine Physician
  • Oklahoma City, OK
  • NPI 1326076027
  NPD (past)
• Integris South Oklahoma City Hospital Corporation

  dba Integris Health Southwest Medical Center

  • General Acute Care Hospital
  • Oklahoma City, OK
  • NPI 1457372625
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Integris South Oklahoma City Hospital Corporation

  dba Integris Southwest Breast Center

  • Mammography Clinic/Center
  • Oklahoma City, OK
  • NPI 1336155779

  Hospital

  Care Compare affiliation
• Integris South Oklahoma City Hospital Corporation

  dba Integris Jim Thorpe Inpatient Rehabilitation

  • Rehabilitation Hospital Unit
  • Oklahoma City, OK
  • NPI 1336252717
  Care Compare affiliation
• Integris South Oklahoma City Hospital Corporation

  dba Integris Health Southwest Medical Center

  • General Acute Care Hospital
  • Oklahoma City, OK
  • NPI 1457372625
  Care Compare affiliation
• Ou Medicine Inc.

  • General Acute Care Hospital
  • Oklahoma City, OK
  • NPI 1649794157
  Care Compare affiliation

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

{
    "created_epoch": "1181088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555027200000",
    "number": "1639372899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5300 N INDEPENDENCE AVE",
            "address_2": "SUITE 280",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731125556",
            "telephone_number": "405-425-8100",
            "fax_number": "405-425-8119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 S TELEPHONE RD STE 200",
            "city": "MOORE",
            "state": "OK",
            "postal_code": "731602971",
            "telephone_number": "405-425-8100",
            "fax_number": "405-425-8119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "ANDREA",
        "middle_name": "JANAE",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-06",
        "last_updated": "2019-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "OK",
            "license": "4102",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200118200A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANDREA",
            "last_name": "MOORE",
            "middle_name": "JANAE",
            "credential": "DO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Madeline Merriott, BACHELOR'S
• Lauren L Metcalf
• Brian Michael, LCSW
• Sydnee Michael, RBT
• Midwest Oncology Group PLLC (Optim Oncology Moore)
• Ashley Elizabeth Miller, M.S.B.S.
• Bobbie Miller
• Carrie Rena Miller, LCSW
• Jeffrey A Miller, M.D.
• Kristy Miller, APRN-CNP

• Obstetrics & Gynecology Physician in Moore, OK
• Providers in Moore, OK by specialty
• Obstetrics & Gynecology Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.