Mark Militana, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

0101045615 Issued in VA

Practice address

804 South Adams Street
Petersburg, VA 23803

Phone

(804) 862-5680

Fax

(804) 862-5698

NPI assigned

May 25, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in VA, NC, KY3 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 3

Specialty

Emergency Medicine

Education

Albany Medical College of Union University, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Concord Company of Tennessee PLLCGroup PAC ID 0345588109, 68 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Carroll County Memorial Hospital Hospital, Carrollton, KY, CCN 181310

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Concord Company of Tennessee PLLC

  • Emergency Medicine Physician
  • Leitchfield, KY
  • NPI 1649743667

  Emergency Medicine, KY

  Medicare reassignment Care Compare group NPD
• Alexandria Springfield Emergency Physicians PC

  • Emergency Medicine Physician
  • Franklin, VA
  • NPI 1740529700

  Emergency Medicine, VA

  Medicare reassignment NPD
• Emergency Medicine Associates, P.a.,P.C.

  • Internal Medicine Physician
  • Dulles, VA
  • NPI 1376917070

  Internal Medicine, VA

  Medicare reassignment NPD
• Concord Medical Group of Kentucky PLLC

  • Emergency Medicine Physician
  • Hardinsburg, KY
  • NPI 1346746385

  Emergency Medicine, KY

  Medicare reassignment NPD
• Emergency Coverage, LLC

  • Family Medicine Physician
  • Newport, TN
  • NPI 1427005008

  Emergency Medicine, NC

  Medicare reassignment NPD
• Erx Group, LLC

  • Emergency Medicine Physician
  • Alma, GA
  • NPI 1760823082

  Emergency Medicine, NC

  Medicare reassignment NPD
• Southeastern Emergency Physicians LLC

  • Emergency Medicine Physician
  • Maysville, KY
  • NPI 1356379382

  Emergency Medicine, KY

  Medicare reassignment NPD
• Alexandria Springfield Emergency Physicians PC

  • Emergency Medicine Physician
  • Alexandria, VA
  • NPI 1720839764

  Emergency Medicine

  NPD
• Emergency Medicine Associates P.a., P.C.

  • Internal Medicine Physician
  • Culpeper, VA
  • NPI 1881559102

  Internal Medicine

  NPD
• Ecs of Virginia, Inc.

  • Emergency Medicine Physician
  • Emporia, VA
  • NPI 1821083874

  Emergency Medicine

  NPD (past)
• Emporia Hospital Corporation

  • Medicare Defined Swing Bed Hospital Unit
  • Emporia, VA
  • NPI 1205807690
  NPD (past)
• Monacan Emgergency Physicians

  • Emergency Medicine Physician
  • Emporia, VA
  • NPI 1225081995

  Emergency Medicine

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• CCMH Corporation

  • Critical Access Hospital
  • Carrollton, KY
  • NPI 1225159601

  Hospital

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444867200000",
    "number": "1104872019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 W FRANKLIN ST",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232203709",
            "telephone_number": "804-370-3082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 SOUTH ADAMS STREET",
            "city": "PETERSBURG",
            "state": "VA",
            "postal_code": "23803",
            "telephone_number": "804-862-5680",
            "fax_number": "804-862-5698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILITANA",
        "first_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-25",
        "last_updated": "2015-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "VA",
            "license": "0101045615",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "2014-02252",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Metro Gardens Enterprises, Inc
• Michael W Lane MD PC
• Midlothian Rehabilitation Associates PLLC
• Milan Bhagat, DMD, PLLC
• Jerry A Miles, DDS
• Jacquelyn Perry Miller, RN
• Mind Over Matter Services
• Mind Over Matter Services
• Raj K Mishra, M.D.
• Mission of Love Corp.

• All providers in Petersburg, VA
• Emergency Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.