Individual provider Active NPI

Migdalia Muriel

  • Pediatric Adolescent Medicine Physician
  • Stilwell, OK
National Provider Identifier
1770573404
Registry record updated Dec 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X
License
19668 Issued in OK
Practice address
RR 6 Box 840
Stilwell, OK 74960-8703
Phone
(918) 696-8815
Fax
(918) 696-3879
NPI assigned
Oct 25, 2005
Last updated
Dec 17, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Adolescent Medicine Physician 2080A0000X 19668 OK Primary

Addresses

Primary practice location

RR 6 Box 840
Stilwell, OK 74960-8703

Mailing address

PO Box 1920
Tahlequah, OK 74465-1920
Phone (918) 284-9251

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20031112000707 TX Practitioner - Pediatric Medicine 0648183830 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
19668OKMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Cherokee Nation CurrentSince Jan 18, 2015 Accepting new patients
Cherokee Nation Current Accepting new patients
Cherokee Nation CurrentSince Jan 18, 2015 Accepting new patients

Locations

859 E Melton Dr
Jay, OK 74346
Phone (918) 253-4271

1001 S 41st St E
#3
Muskogee, OK 74403
Phone (918) 687-0201

1020 Lenape Dr
Nowata, OK 74048
Phone (918) 273-0192

900 N Owen Walters Blvd
Salina, OK 74365
Phone (918) 434-8500

301 S J T Stites St
Sallisaw, OK 74955
Phone (918) 774-1400

471688 Highway 51
Stilwell, OK 74960

Dept 2269
Tulsa, OK 74182

Organizations & group practices 3

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": "1130198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418774400000",
    "number": "1770573404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1920",
            "city": "TAHLEQUAH",
            "state": "OK",
            "postal_code": "744651920",
            "telephone_number": "918-284-9251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "RR 6 BOX 840",
            "city": "STILWELL",
            "state": "OK",
            "postal_code": "749608703",
            "telephone_number": "918-696-8815",
            "fax_number": "918-696-3879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURIEL",
        "first_name": "MIGDALIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-25",
        "last_updated": "2014-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "OK",
            "license": "19668",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stilwell, OK

Sources for this page

Verify at the official NPI Registry.