Trudy J Milner, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

2801 Issued in OK

Practice address

715 Grandview Ave
Pawhuska, OK 74056-3201

Phone

(918) 287-9300

Fax

(918) 287-6138

NPI assigned

Mar 14, 2006

Last updated

Oct 13, 2020By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in OK, TX2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

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

• Omni Medical Group Inc

  • Internal Medicine Physician
  • Tulsa, OK
  • NPI 1174578249

  Family Medicine

  Medicare reassignment NPD
• St. John Physicians, Inc.

  • Internal Medicine Physician
  • Tulsa, OK
  • NPI 1336194406

  Family Medicine

  NPD (past)

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602547200000",
    "number": "1649249525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1919 S WHEELING AVE",
            "address_2": "LL 100",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741045638",
            "telephone_number": "918-748-7890",
            "fax_number": "918-293-3137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 GRANDVIEW AVE",
            "city": "PAWHUSKA",
            "state": "OK",
            "postal_code": "740563201",
            "telephone_number": "918-287-9300",
            "fax_number": "918-287-6138"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1919 S Wheeling Ave",
            "address_2": "LL 100",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "741045638",
            "country_code": "US",
            "telephone_number": "918-748-7890",
            "fax_number": "918-293-3137",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILNER",
        "first_name": "TRUDY",
        "middle_name": "J",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-14",
        "last_updated": "2020-10-13",
        "certification_date": "2020-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "2801",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100135440A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer C McGlothlin, CADC
• Georgeline L McKay
• Erin McLaughlin, LCSW
• Jeremy R Merriman
• Michelle Ann Miller
• Karee Jo Molloy Kleier, LPN
• Brittany D Morgan
• Ciera Diane Moses, RDH
• Barbara Mullins
• Osage Home Health

• Family Medicine Physician in Pawhuska, OK
• Providers in Pawhuska, OK by specialty
• Family Medicine Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.