Provider Demographics
NPI:1972698215
Name:MILTON, JAMES EARL (MD)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:EARL
Last Name:MILTON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2810 COUNTRY CLUB DRIVE
Mailing Address - Street 2:
Mailing Address - City:CHICKASHA
Mailing Address - State:OK
Mailing Address - Zip Code:73018-6914
Mailing Address - Country:US
Mailing Address - Phone:405-222-1077
Mailing Address - Fax:405-222-1077
Practice Address - Street 1:2810 COUNTRY CLUB DR
Practice Address - Street 2:
Practice Address - City:CHICKASHA
Practice Address - State:OK
Practice Address - Zip Code:73018-6914
Practice Address - Country:US
Practice Address - Phone:405-222-1077
Practice Address - Fax:405-222-1077
Is Sole Proprietor?:No
Enumeration Date:2006-10-03
Last Update Date:2012-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK85062085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK100093850BMedicaid
OKP00625832OtherMEDICARE RAILROAD
OK100093850BMedicaid
OK24M712413Medicare PIN