Johnathon David Millwee, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

803 Issued in OK

Practice address

4802 S 109TH East Ave
Tulsa, OK 74146

Phone

(580) 302-1121

NPI assigned

Apr 3, 2018

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1522713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551139200000",
    "number": "1730685314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7841 S UNION AVE APT 2203",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741322766",
            "telephone_number": "580-302-1121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4802 S 109TH EAST AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "74146",
            "telephone_number": "580-302-1121"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4802 S 109th East Ave",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "74146",
            "country_code": "US",
            "telephone_number": "580-302-1121",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLWEE",
        "first_name": "JOHNATHON",
        "middle_name": "DAVID",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-03",
        "last_updated": "2019-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "OK",
            "license": "803",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Miriam V. Mills, M.D.
• Regina Mills, APRN
• Richard Elliott Mills, D.O.
• Timothy R Mills, DC
• Alicia Claire Millspaugh, APRN, CNP
• Catherine Carol Milner, D.O.
• Hailey Rose Milsten, MA
• Marc Steven Milsten, MD
• David Cole Milton, PHD
• Robin Milton

• Athletic Trainer in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Athletic Trainer in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2019; 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.