SHAWN SCARBERRY MILLER (NPI# 1083670566) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083670566 |
| Entity Type | Individual |
| Full Name | SHAWN SCARBERRY MILLER |
| Credential | M.D. |
| Practice Address |
19600 E Ross St Tahlequah OK 74464-0545 |
| Practice Telephone | 5392344100 |
| Practice Fax Number | 5392344101 |
| Mailing Telephone | 5392344100 |
| Mailing Fax Number | 5392344101 |
| Enumeration Date | 2006-04-25 |
| Last Update Date | 2020-07-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 35863 | OK | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | E1452 | AR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | ARBCBS | 5K620 | 01 |
| AR | 132969001 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801415591 | Shawn Ryan Miller | Counselor | Lourdes Counseling Center, 1175 Carondelet Dr, Richland, WA 99354 | 2020-04-13 |
| 1992253009 | Shawn Lauritz Miller Sr. | Substance Abuse Rehabilitation Facility | 3069 Cisco Ct, Simi Valley, CA 93063-1809 | 2016-09-18 |
| 1083087282 | Shawn Alexander Miller | Physical Medicine & Rehabilitation | 822 Carriage Dr, Milliken, CO 80543-3099 | 2015-11-10 |
| 1407271083 | Shawn Mitchell Miller | Pharmacist | 223 Berthoud Trl, Broomfield, CO 80020-9677 | 2014-02-19 |
| 1316369945 | Shawn Miller | Chiropractor | 304 Kolmar Street, La Jolla, CA 92037 | 2014-01-16 |
| 1336497445 | Shawn Carol Miller | Dentist | 410 Merhar Ave Ste 5, Fairbanks, AK 99701-3166 | 2012-08-21 |
| 1861605834 | Shawn M Miller | Psychologist | 722 W 100 S, Suite # 1, Heber City, UT 84032-3739 | 2007-05-07 |
| 1851346456 | Shawn W Miller | Chiropractor | 608 Hunter Hwy, Suite 112, Tunkhannock, PA 18657-8068 | 2006-05-23 |
| 1295204873 | Shawn Miller | Pharmacist | 271 Main St, Madison, WV 25130-1219 | 2018-11-13 |
| 1316307176 | Shawn Daniel Miller | Counselor | 1435 N Oakland Blvd, Waterford, MI 48327-1549 | 2016-03-07 |
| Street Address |
19600 E ROSS ST |
| City | TAHLEQUAH |
| State | OK |
| Zip Code | 74464-0545 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528671237 | Madeleine Moss Perry | Pharmacist | 19600 E Ross St, Tahlequah, OK 74464-0545 | 2020-08-24 |
| 1700496973 | Angela J Fitch | Pharmacist | 19600 E Ross St, Tahlequah, OK 74464-0545 | 2020-08-03 |
| 1992052674 | Emily Wauneka Berg Ikahihifo | Dentist | 19600 E Ross St, Tahlequah, OK 74464-0545 | 2012-08-13 |
| 1629375761 | Lisa D Tidwell-mckay | Counselor | 19600 E Ross St, Tahlequah, OK 74464-0545 | 2011-02-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184253403 | Kendall Harris | Student in an Organized Health Care Education/Training Program | 100 Bliss Ave, Tahlequah, OK 74464 | 2020-04-07 |
| 1528609302 | Norma Brightly | Technician | 103 Sequoyah, Tahlequah, OK 74464 | 2019-10-03 |
| 1073175832 | Jody Lynn Dallis | Case Manager/Care Coordinator | Tenkiller Behavioral Services, 27753 S. Welling Rd, Welling, OK 74464 | 2019-07-02 |
| 1184287849 | Perry Jake Proctor | Student in an Organized Health Care Education/Training Program | 1400 E Downing St, Tahlequah, Ok 74464, Tahlequah, OK 74464 | 2019-04-18 |
| 1336657279 | Sidney Sheyenne Kimble | Case Manager/Care Coordinator | 1429 Jack Brown Lane, Tahlequah, OK 74464 | 2018-01-12 |
| 1891225686 | Nichols Bradley Alberty | Orthotist | 1294 East Downing, Suite 3, Tahlequah, OK 74464 | 2017-06-14 |
| 1922549690 | Krystal Easter Ms, Lpc | Counselor | 2201 Oakridge Dr, Tahlequah, OK 74464 | 2017-03-15 |
| 1144777319 | Northeastern Oklahoma Community Health Centers, Inc. | Clinic/Center | 529 N. Oak St., Tahlequah, OK 74464 | 2016-09-06 |
| 1548713456 | Clement Isioma Nwadozi | Optometrist | 3763 Southridge Cir Apt 6, Tahlequah, OK 74464 | 2016-07-27 |
| 1033532635 | Wesley Gragg | Specialist/Technologist | 603 North Grand Avenue, Tahlequah, OK 74464 | 2014-02-03 |
| Find all providers in zip 74464 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043413487 | Lifelong Wellness Center Inc | Family Medicine | 1203 E Ross Byp Ste C, Tahlequah, OK 74464-4188 | 2007-06-05 |
| 1043422934 | Donna L Schneider D O Inc | Family Medicine | 1323 East Downing Street, Tahlequah, OK 74464 | 2007-05-04 |
| 1790833416 | Tahlequah Medical Associates | Family Medicine | 1500 E Downing St Ste 205, Tahlequah, OK 74464-3379 | 2007-01-08 |
| 1720096894 | Donna L Schneider | Family Medicine | 1323 E Downing St, Tahlequah, OK 74464-3368 | 2006-08-04 |
| 1548201155 | Coy Joe Edwards | Family Medicine | 1500 E Downing St, Suite 205, Tahlequah, OK 74464-3234 | 2006-06-08 |
| 1568453918 | James Mark Seratt | Family Medicine | 22408 Highway 51, Tahlequah, OK 74464-2058 | 2005-11-03 |
| 1194727198 | Owen Buck Gilmore | Family Medicine | 100 S Bliss Ave, Tahlequah, OK 74464-2512 | 2005-08-10 |
| 1568823938 | Northeast Oklahoma Wellness Clinic LLC | Family Medicine | 1500 E Downing St, Tahlequah, OK 74464-3234 | 2016-03-14 |
| 1932543113 | Lindsay K Zuck | Family Medicine | 100 S Bliss Ave, Tahlequah, OK 74464-2512 | 2013-04-18 |
| 1215278668 | Christopher Michael Sacilowski | Family Medicine | 100 S Bliss Ave, Tahlequah, OK 74464-2512 | 2013-03-11 |
| Find all providers in TAHLEQUAH | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.