DR. MARK DOUGLAS MILLS (NPI# 1174527667) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174527667 |
| Entity Type | Individual |
| Full Name | DR. MARK DOUGLAS MILLS |
| Credential | PHARM.D. |
| Practice Address |
1923 S Utica Ave Tulsa OK 74104-6520 |
| Mailing Address |
2928 E 103rd St Tulsa OK 74137-5631 |
| Practice Telephone | 9187443131 |
| Practice Fax Number | 9187443063 |
| Mailing Telephone | 9182984924 |
| Enumeration Date | 2005-06-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P1200X |
Pharmacist Specialization: Pharmacotherapy |
12747 | OK | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689812919 | Mark J Mills | Psychiatry & Neurology | 5308 Macarthur Blvd Nw, Washington, DC 20016-2522 | 2009-01-23 |
| 1114040763 | Mark Gregory Mills | Optometrist | 1850 Epps Bridge Pkwy Ste 325, Athens, GA 30606-6186 | 2007-04-09 |
| 1487848065 | Mark J Mills | Dentist | 10 Rupert St, Monte Vista, CO 81144-1042 | 2007-08-28 |
| 1356488761 | Mark A. Mills | Physician Assistant | 3465 Macon Rd, Ste D, Columbus, GA 31907-2582 | 2007-02-01 |
| 1447310701 | Mark Anson Mills | Acupuncturist | 1818 W Lindsey St, Suite C-160, Norman, OK 73069-4159 | 2006-12-09 |
| 1669560462 | Mark C Mills | Pathology | 2015 Jackson St, Anderson, IN 46016-4337 | 2006-10-10 |
| 1366538126 | Mark Alan Mills | Physical Therapist | 1380 E Medical Center Drive, St George, UT 84770 | 2006-10-05 |
| 1740228022 | Mark R Mills | Radiology | 5959 Park Ave, Radiology Department, Memphis, TN 38119-5200 | 2006-06-02 |
| 1346202132 | Mark F Mills | Orthopaedic Surgery | 660 Golden Ridge Rd, Ste 250, Golden, CO 80401-9541 | 2006-04-05 |
| 1104807452 | Mark A. Mills | Internal Medicine | 6465 Millennium, Suite 100, Lansing, MI 48917-7831 | 2005-11-11 |
| Street Address |
1923 S UTICA AVE |
| City | TULSA |
| State | OK |
| Zip Code | 74104-6520 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043848880 | Saba Imani | Student in an Organized Health Care Education/Training Program | 1923 S Utica Ave, Tulsa, OK 74104-6520 | 2020-03-28 |
| 1073146312 | Tammy Irene Joplin | Clinical Nurse Specialist | 1923 S Utica Ave, Tulsa, OK 74104-6520 | 2020-02-14 |
| 1962047563 | Houston Reed Slemp | Nurse Practitioner | 1923 S Utica Ave, Tulsa, OK 74104-6520 | 2019-11-07 |
| 1558903369 | Nicole Coburn | Physician Assistant | 1923 S Utica Ave, Tulsa, OK 74104-6520 | 2019-10-14 |
| 1124669643 | Jordan Beasley | Physician Assistant | 1923 S Utica Ave, Tulsa, OK 74104-6520 | 2019-10-06 |
| 1558926683 | Jacob Blasdel | Student in an Organized Health Care Education/Training Program | 1923 S Utica Ave, Tulsa, OK 74104-6520 | 2019-05-03 |
| 1487217634 | Candice R Rogers | Student in an Organized Health Care Education/Training Program | 1923 S Utica Ave, Tulsa, OK 74104-6520 | 2019-04-15 |
| 1881158178 | Ellen Chadick | Anesthesiologist Assistant | 1923 S Utica Ave, Tulsa, OK 74104-6520 | 2019-01-30 |
| 1528522810 | Hannah Chadick | Anesthesiologist Assistant | 1923 S Utica Ave, Tulsa, OK 74104-6520 | 2019-01-30 |
| 1477033413 | Ashley Siobhan Carnley | Nurse Anesthetist, Certified Registered | 1923 S Utica Ave, Tulsa, OK 74104-6520 | 2018-08-20 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982253811 | Ultimate Health and Pain Management | Pain Medicine | 1844 East 15th Street, Tulsa, OK 74104 | 2019-09-04 |
| 1225691223 | David Murray | Student in an Organized Health Care Education/Training Program | 2100 S Wheeling Ave, Tulsa, OK 74104 | 2019-04-16 |
| 1083115828 | Susan Fortner | Counselor | 1328 S. Delaware Pl, Tulsa, OK 74104 | 2018-02-27 |
| 1033636915 | Mark Brizendine | Dietitian, Registered | Hillcrest Medical Center 1120 S. Utica Ave, Tulsa, OK 74104 | 2017-08-23 |
| 1295259067 | Demi Reyd Cook | Nurse Practitioner | 1717 A South Utica, Tulsa, OK 74104 | 2017-08-02 |
| 1851827059 | Oklahoma Cvs Pharmacy | Durable Medical Equipment & Medical Supplies | 1701 E 15th Street, Tulsa, OK 74104 | 2017-05-08 |
| 1801334982 | Jamie Lynne Miller | Internal Medicine | 2000 S. Wheeling Avenue Ste 510, Tulsa, OK 74104 | 2017-02-08 |
| 1578913430 | Donna Durant-macon | Registered Nurse | 315 South Utica, Tulsa, OK 74104 | 2016-06-21 |
| 1669833851 | Mbc Dental | Dentist | 401 S. Utica Ave, #a, Tulsa, OK 74104 | 2016-03-15 |
| 1518332170 | Neuro Dynamics LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 22 S Lewis, Tulsa, OK 74104 | 2015-12-08 |
| Find all providers in zip 74104 | ||||
| Taxonomy Code | 1835P1200X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacotherapy |
| A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing pharmacotherapeutic care of patients, by developing, implementing, monitoring, and modifying complex treatment plans, providing advanced level education and consultation, and collaborating with other health professionals in the management of therapy. |
| Notes: Source: Specialty certification and recertification program administered by Board of Pharmaceutical Specialties, www.bpsweb.org [7/1/2006: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346230828 | Jonathan David Ference | Pharmacist | 1111 South St. Louis Ave, Tulsa, OK 74120-0000 | 2005-10-25 |
| 1235127440 | Julia D Matejec | Pharmacist | 10109 E 79th St, Inpatient Pharmacy, Tulsa, OK 74133-4564 | 2005-10-11 |
| 1235752361 | William Richey | Pharmacist | 6901 S Olympia Ave, Tulsa, OK 74132 | 2020-05-23 |
| 1164944658 | Samie Sabet Sarvestani | Pharmacist | 4444 E 41st St, Tulsa, OK 74135-2527 | 2017-07-17 |
| 1427468420 | Christina Connel | Pharmacist | 744 W 9th St, Tulsa, OK 74127-9020 | 2014-04-30 |
| 1639450075 | Judith Ann Andrews | Pharmacist | 4561 N Peoria Ave, Tulsa, OK 74106-1331 | 2011-08-30 |
| 1558591628 | Brandy Williams | Pharmacist | 6161 S Yale Ave, Tulsa, OK 74136-1902 | 2009-07-22 |
| 1578770327 | Jeremy Lowell Johnson | Pharmacist | 4502 E 41st St, Suite 2h29, Tulsa, OK 74135-2553 | 2007-05-17 |
| 1730394875 | Jacquelyn Marie Leblanc | Pharmacist | 4502 E 41st St, Suite 2h23, Tulsa, OK 74135-2553 | 2007-05-11 |
| 1457573172 | Marilee Dawn Obritsch | Pharmacist | 4502 E 41st St, Suite 2h31, Tulsa, OK 74135-2553 | 2007-05-03 |
| Find all providers in TULSA | ||||
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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.