Peteryne D Miller, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

23611 Issued in OK

Practice address

4870 S Lewis
Suite 190
Tulsa, OK 74105

Phone

(918) 720-1682

Fax

(918) 742-7677

NPI assigned

Jun 4, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Psychiatry

Education

Other, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Dr. Peteryne D. Miller, M.D. LLCGroup PAC ID 9537492616, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: peteryne.miller.1@14254.direct.athenahealth.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.

• Dr. Peteryne D. Miller, M.D. LLC

  dba Dr. Peteryne D. Miller, MD

  • Psychiatry Physician
  • Tulsa, OK
  • NPI 1356828305
  Medicare reassignment Care Compare group NPD
• Oklahoma Mental Health Council

  dba Red Rock Behavioral Health Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Oklahoma City, OK
  • NPI 1275574907
  Medicare reassignment NPD
• Parkside, Inc.

  • Adult Mental Health Clinic/Center
  • Tulsa, OK
  • NPI 1356552111
  Medicare reassignment NPD
• Bart Trentham, PLLC

  • Psychologist
  • Tulsa, OK
  • NPI 1881917151
  NPD
• Oklahoma Mental Health Council

  dba Red Rock Behavioral Health Services

  • Community/Behavioral Health Agency
  • Hobart, OK
  • NPI 1801219340
  NPD
• Parkside, Inc.

  • Psychiatric Hospital
  • Tulsa, OK
  • NPI 1134750649
  NPD
• Parkside, Inc.

  • Psychiatric Hospital Unit
  • Tulsa, OK
  • NPI 1205135936
  NPD
• Melton Health and Medical Services

  • Mental Health Counselor
  • Broken Arrow, OK
  • NPI 1093123101
  NPD (past)

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

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346889600000",
    "number": "1720026362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4870 S LEWIS",
            "address_2": "SUITE 190",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741056261",
            "telephone_number": "918-720-1682",
            "fax_number": "918-742-7677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4870 S LEWIS",
            "address_2": "SUITE 190",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "74105",
            "telephone_number": "918-720-1682",
            "fax_number": "918-742-7677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "PETERYNE",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-04",
        "last_updated": "2012-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OK",
            "license": "23611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melody Miller, LMFT
• Natalie Miller
• Oren Francis Miller III, MD
• Oren Francis Miller IV
• Penny R Miller, MS, LPC
• Quintella Delana Miller
• Robert Jeffrey Miller, APRN-CNP
• Ronnie D Miller
• Ruth A. Miller, D.O.
• Saralyn Faie Miller, LMSW-PROVISIONAL

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2012; 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.