Jason Keith Miles (NPI# 1174889448, PAC ID# 8820226103) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1174889448 |
| PAC ID by PECOS | 8820226103 |
| Professional Enrollment ID | I20150819007940 |
| Full Name | Jason Keith Miles |
| Organization Legal Name | AHS OKLAHOMA PHYSICIAN GROUP LLC |
| Address |
1501 N Florence Suite 300 Utica Park Clinic Claremore Fam Pra Sport Claremore OK 74017-3255 |
| Phone Number | 9183438560 |
| Gender | M |
| Medical School | OKLAHOMA COLLEGE OF OSTEOPATHIC MEDICINE AND SURGERY |
| Graduation Year | 2012 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 9436122496 |
| Number of Group Practice Members | 275 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 370039 | HILLCREST HOSPITAL CLAREMORE |
| 370001 | HILLCREST MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1501 N Florence, Suite 300 Utica Park Clinic Claremore Fam Pra Sport, Claremore, OK 74017-3255 | 9183438560 | AHS OKLAHOMA PHYSICIAN GROUP LLC |
| 20 E 34th St, Utica Park Clinic San Springs, Sand Springs, OK 74063-4001 | 9182459675 | AHS OKLAHOMA PHYSICIAN GROUP LLC |
| Organization Legal Name | AHS OKLAHOMA PHYSICIAN GROUP LLC |
| Physicians | 266 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ammie Wall Kelley | Nurse Practitioner | Ahs Oklahoma Physician Group LLC | 1245 S Utica Ave, Suite 1, Tulsa, OK 74104-4214 |
| Lisa Mask Bull | Dermatology | Ahs Oklahoma Physician Group LLC | 9245 S Mingo Rd, Tulsa, OK 74133-5793 |
| Kelsey Spencer | Nurse Practitioner | Ahs Oklahoma Physician Group LLC | 2400 N Hwy 66 B, Utica Park Clinic Catoosa, Catoosa, OK 74015-3074 |
| Valerie Anne Mitchell | Nurse Practitioner | Ahs Oklahoma Physician Group LLC | 1501 N Florence, Suite 300 Utica Park Clinic Claremore Fam Pra Sport, Claremore, OK 74017-3255 |
| Christina Lou Martin | Certified Clinical Nurse Specialist (cns) | Ahs Oklahoma Physician Group LLC | 1551 N 9th St, Utica Park Clinic Broken Arrow North, Broken Arrow, OK 74012-8898 |
| Kristine Elaine Bryant | Obstetrics/gynecology | Ahs Oklahoma Physician Group LLC | 701 E Main, Jenks, OK 74037-4316 |
| Elwood F Williams Iii | Interventional Pain Management | Ahs Oklahoma Physician Group LLC | 8803 S 101st E Ave, 100 Utica Park Clinic, Tulsa, OK 74133-7546 |
| Jaclyn Duvall | Neurology | Ahs Oklahoma Physician Group LLC | 8803 S 101st E Avenue, 280 Utica Park Clinic Neurology South, Tulsa, OK 74133-5783 |
| Aimee K Musgrove | Nurse Practitioner | Ahs Oklahoma Physician Group LLC | 6528 E 101st St, Suite I, Tulsa, OK 74133-6754 |
| Jeannette Windschitl | Nurse Practitioner | Ahs Oklahoma Physician Group LLC | 10215 N 110th E Ave, Suite 200, Owasso, OK 74055-6638 |
| Street Address |
1501 N FLORENCE SUITE 300 UTICA PARK CLINIC CLAREMORE FAM PRA SPORT |
| City | CLAREMORE |
| State | OK |
| Zip | 74017-3255 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Valerie Anne Mitchell | Nurse Practitioner | Ahs Oklahoma Physician Group LLC | 1501 N Florence, Suite 300 Utica Park Clinic Claremore Fam Pra Sport, Claremore, OK 74017-3255 |
| Amber Davis | Nurse Practitioner | Ahs Oklahoma Heart LLC | 1501 N Florence, 201 Okla Heart Institute, Claremore, OK 74017-3189 |
| Jana R Loveless | Sleep Medicine | Ahs Oklahoma Heart LLC | 1501 N Florence, 201 Okla Heart Institute, Claremore, OK 74017-3189 |
| Gary L Steinbrook | Family Medicine | Ahs Oklahoma Physician Group LLC | 1501 N Florence, Suite 300 Utica Park Clinic Claremore Fam Pra Sport, Claremore, OK 74017-3255 |
| Seth David Nodine | General Practice | Ahs Oklahoma Physician Group LLC | 1501 N Florence, Suite 300 Utica Park Clinic Claremore Fam Pra Sport, Claremore, OK 74017-3255 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Weldon J Mallgren | Psychiatry | Grand Lake Mental Health Center, Inc. | 17599 S Hwy 88, Claremore, OK 74017-0801 |
| Angela Gale Rhoten | Nurse Practitioner | Grand Lake Mental Health Center, Inc. | 17599 S Hwy 88, Claremore, OK 74017-0801 |
| Emily Fay Shearer | Nurse Practitioner | Grand Lake Mental Health Center, Inc. | 17599 S Hwy 88, Claremore, OK 74017-0801 |
| Karrie Cuttler | Qualified Audiologist | Ear Nose Throat and Allergy Center Pllc | 1715 N Lynn Riggs Boulevard, Claremore, OK 74017-1715 |
| Benjamine M Welch | Otolaryngology | Ear Nose Throat and Allergy Center Pllc | 1715 N Lynn Riggs Boulevard, Claremore, OK 74017-1715 |
| James Warren | Chiropractic | Rogers County Chiropractic, Inc. | 800 W Blue Starr Dr, Claremore, OK 74017-2817 |
| Emily M Rigney | Physical Therapy | Drayer Physical Therapy Oklahoma LLC | 1071 W Blue Starr Dr, Suite 105, Claremore, OK 74017-2868 |
| Julie E Hancox | Physical Therapy | Drayer Physical Therapy Oklahoma LLC | 1071 W Blue Starr Dr, Suite 105, Claremore, OK 74017-2868 |
| Christopher James Martin | Physical Therapy | Drayer Physical Therapy Oklahoma LLC | 1071 W Blue Starr Dr, Suite 105, Claremore, OK 74017-2868 |
| Jessica Davis | Physical Therapy | Drayer Physical Therapy Oklahoma LLC | 1071 W Blue Starr Dr, Suite 105, Claremore, OK 74017-2868 |
| Find all physicians in zip 74017 | |||
| City | CLAREMORE |
| Zip Code | 74017 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | CLAREMORE + FAMILY MEDICINE |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.