IndividualActive
Myriam Gilmore, M.D.
NPI 1609900547 · Pediatrics Physician · Tahlequah, OK
Provider details
- NPI number
- 1609900547
- Entity type
- Individual
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- N-6490 (AR)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
100 S Bliss Ave
Tahlequah, OK 74464-2512
Phone: (918) 458-3120
Fax: (918) 458-3511
Street-level locationGet directions
Mailing address
4425 Brandt Dr
Oklahoma City, OK 73120-8016
Registry dates
- Enumerated
- 2007-03-15
- Last updated
- 2007-07-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.