Active NPI
Harold R Miller, PA
- Physician Assistant
- Oklahoma City, OK
National Provider Identifier
1871695916
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0529
- Practice address
- 750 NE 13TH St
Suite 200
Oklahoma City, OK 73104-5051 - Phone
- (405) 271-4351
- NPI assigned
- Sep 1, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 0529 | OK | Primary |
Addresses
Primary practice location
750 NE 13TH St
Suite 200
Oklahoma City, OK 73104-5051
Mailing address
701 NE 10TH St
Ori 236
Oklahoma City, OK 73104-5403
Phone (405) 271-1515
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 529 | OK | MD | Athletic Trainer |
| 0529 | OK | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157068800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1478736000000",
"number": "1871695916",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "701 NE 10TH ST",
"address_2": "ORI 236",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731045403",
"telephone_number": "405-271-1515"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "750 NE 13TH ST",
"address_2": "SUITE 200",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731045051",
"telephone_number": "405-271-4351"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "HAROLD",
"middle_name": "R",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-01",
"last_updated": "2016-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "OK",
"license": "0529",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.