Individual provider Active NPI

Eric Stewart Mills, D.O.

  • Family Medicine Physician
  • Durant, OK
National Provider Identifier
1750589651
Registry record updated Jan 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4667 Issued in OK
Practice address
1600 W University Blvd
Durant, OK 74701-3045
Phone
(580) 924-5500
Fax
(580) 924-1991
NPI assigned
Jul 3, 2007
Last updated
Jan 13, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X R1039 AZ
Family Medicine Physician 207Q00000X 4667 OK Primary

Addresses

Primary practice location

1600 W University Blvd
Durant, OK 74701-3045

Mailing address

1600 W University Blvd
Durant, OK 74701-3045
Phone (580) 924-5500

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20090423000324 OK Practitioner - Family Practice 5294883633 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Oklahoma Ambulatory Services LLCGroup PAC ID 9830447036, 43 clinicians

Practice addresses (Care Compare)

12220 N Macarthur Blvd D
Mercy Gohealth Urgent Care NW Okc
Oklahoma City, OK 73162-1851
Phone (405) 437-1100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
R1039AZMDInternal Medicine Physician
4667OKMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Advance Physicians Group CurrentSince Apr 1, 2014 Accepting new patients
Mercy Oklahoma Ambulatory Services LLC CurrentSince Aug 12, 2019 Accepting new patients

Locations

1221 N Kelly Ave
Edmond, OK 73003
Phone (405) 285-8799

1380 W Covell Rd
Ste 132
Edmond, OK 73003
Phone (405) 279-9637

12220 N MacArthur Blvd
Ste D
Oklahoma City, OK 73162
Phone (405) 437-1100

4510 NW 39th St
Oklahoma City, OK 73122
Phone (405) 495-5841

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1183420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263340800000",
    "number": "1750589651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 W UNIVERSITY BLVD",
            "city": "DURANT",
            "state": "OK",
            "postal_code": "747013045",
            "telephone_number": "580-924-5500",
            "fax_number": "580-924-1991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 W UNIVERSITY BLVD",
            "city": "DURANT",
            "state": "OK",
            "postal_code": "747013045",
            "telephone_number": "580-924-5500",
            "fax_number": "580-924-1991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLS",
        "first_name": "ERIC",
        "middle_name": "STEWART",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-03",
        "last_updated": "2010-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "R1039",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "4667",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durant, OK

Sources for this page

Verify at the official NPI Registry.