Individual provider Active NPI

Nathan Edward Millard, MD

  • Pediatrics Physician
  • Murrysville, PA
National Provider Identifier
1114121456
Registry record updated Jan 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD458606 Issued in PA
Practice address
4262 Old William Penn Hwy Ste 208
Murrysville, PA 15668-1954
Phone
(724) 325-2133
Fax
(724) 733-2278
NPI assigned
Jun 12, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Hematology & Oncology Physician 2080P0207X MD60834461 WA
Pediatrics Physician 208000000X MD458606 PA Primary

Addresses

Primary practice location

4262 Old William Penn Hwy Ste 208
Murrysville, PA 15668-1954

Mailing address

4262 Old William Penn Hwy Ste 208
Murrysville, PA 15668-1954
Phone (724) 325-2133

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
East Suburban Pediatric Associates LTD Pediatrics PastSince Jan 31, 2021 Accepting new patients
West Penn Allegheny Health System Inc. Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: nathan@esp.pcc-direct.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1181606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611792000000",
    "number": "1114121456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4262 OLD WILLIAM PENN HWY STE 208",
            "city": "MURRYSVILLE",
            "state": "PA",
            "postal_code": "156681954",
            "telephone_number": "724-325-2133",
            "fax_number": "724-733-2278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4262 OLD WILLIAM PENN HWY STE 208",
            "city": "MURRYSVILLE",
            "state": "PA",
            "postal_code": "156681954",
            "telephone_number": "724-325-2133",
            "fax_number": "724-733-2278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLARD",
        "first_name": "NATHAN",
        "middle_name": "EDWARD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-12",
        "last_updated": "2021-01-28",
        "certification_date": "2021-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0207X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Hematology-Oncology",
            "state": "WA",
            "license": "MD60834461",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MD458606",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murrysville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.