Individual provider Active NPI

Jason K Milligan, M.D.

  • Family Medicine Physician
  • Bossier City, LA
National Provider Identifier
1114138864
Registry record updated Nov 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD.201947 Issued in LA
Practice address
2449 Hospital Dr
Suite 420
Bossier City, LA 71111-2399
Phone
(318) 212-7839
Fax
(318) 212-7837
NPI assigned
May 24, 2007
Last updated
Nov 29, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD.201947 LA Primary

Addresses

Primary practice location

2449 Hospital Dr
Suite 420
Bossier City, LA 71111-2399

Mailing address

2449 Hospital Dr
Suite 420
Bossier City, LA 71111-2399
Phone (318) 212-7839

Other identifiers 1

IdentifierTypeStateIssuer
1078379MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20090811000652 LA Practitioner - Family Practice 8628122512 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Louisiana State University School of Medicine in Shreveport, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
WKB Family Medicine AssociatesGroup PAC ID 4183777147, 5 clinicians

Practice addresses (Care Compare)

5341 Airline Dr
Suite 130
Bossier City, LA 71111-6710
Phone (318) 935-1820

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD.201947LAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
WKB Family Medicine Associates Family Medicine CurrentSince Aug 1, 2009 Accepting new patients
WK Bossier Pulmonary & Critical Care Clinic PastSince Jul 1, 2007 Accepting new patients

Locations

2449 Hospital Dr
Ste 420
Bossier City, LA 71111
Phone (318) 212-7839

5341 Airline Dr
Ste 130
Bossier City, LA 71111
Phone (318) 935-1820

Interoperability endpoints

  • Direct secure messaging: jmilligan1@direct.wkhs.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354147200000",
    "number": "1114138864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2449 HOSPITAL DR",
            "address_2": "SUITE 420",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711112399",
            "telephone_number": "318-212-7839",
            "fax_number": "318-212-7837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2449 HOSPITAL DR",
            "address_2": "SUITE 420",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711112399",
            "telephone_number": "318-212-7839",
            "fax_number": "318-212-7837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLIGAN",
        "first_name": "JASON",
        "middle_name": "K",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-24",
        "last_updated": "2012-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "MD.201947",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1078379",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bossier City, LA

Sources for this page

Verify at the official NPI Registry.