Individual provider Active NPI

David Thomas Millward, M.D., M.S.C.

  • Sports Medicine (Family Medicine) Physician
  • Ann Arbor, MI
National Provider Identifier
1184749491
Registry record updated Dec 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
License
2903599-8208 Issued in AZ
Practice address
207 Fletcher St
Ann Arbor, MI 48109-1050
Phone
(734) 764-8320
NPI assigned
Mar 20, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Family Medicine) Physician 207QS0010X 2903599-8208 AZ Primary

Addresses

Primary practice location

207 Fletcher St
Ann Arbor, MI 48109-1050

Mailing address

97 N Resort Hills PL
Tucson, AZ 85745-5274
Phone (520) 907-4872

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20221020003163 MI Practitioner - Family PracticePractitioner - Sports Medicine 1355400375 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2903599-8208AZMDSports Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regents of the University of Michigan-Uhs-University Health Ser Sports Medicine CurrentSince Oct 10, 2022 Accepting new patients
Northwest Hospital LLC Past Accepting new patients

Locations

207 Fletcher St
Rm 0
Ann Arbor, MI 48109

207 Fletcher St
Ann Arbor, MI 48109
Phone (734) 764-8320

207 Fletcher St
Rm 245G
Ann Arbor, MI 48109
Phone (734) 763-9631

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": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701993600000",
    "number": "1184749491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "97 N RESORT HILLS PL",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857455274",
            "telephone_number": "520-907-4872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 FLETCHER ST",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481091050",
            "telephone_number": "734-764-8320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLWARD",
        "first_name": "DAVID",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "M.D., M.S.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-20",
        "last_updated": "2023-12-08",
        "certification_date": "2023-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "AZ",
            "license": "2903599-8208",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

Verify at the official NPI Registry.