Milligan Surgical Clinic

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

MILLIGAN SURGICAL CLINIC

Practice address

49 Cleveland St
Ste 310
Crossville, TN 38555-9716

Phone

(931) 787-1940

Fax

(931) 787-1943

NPI assigned

Aug 5, 2010

Last updated

Feb 1, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

John L. Milligan, MDNPI 1518113679

Title

President

Phone

(931) 787-1940

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Locations

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• John Leslie Milligan, MD

  • Surgery Physician
  • Crossville, TN
  • NPI 1518113679
  Medicare reassignment Care Compare group NPD Authorized official
• Stevan D Bonom, CRNA

  • Certified Registered Nurse Anesthetist
  • Knoxville, TN
  • NPI 1497728752
  Medicare reassignment Care Compare group NPD
• James William Goodin, M.D.

  • Surgery Physician
  • Knoxville, TN
  • NPI 1497960835
  Medicare reassignment Care Compare group NPD
• Sharon Renee Wyatt

  • Certified Registered Nurse Anesthetist
  • Knoxville, TN
  • NPI 1215102959
  Medicare reassignment Care Compare group NPD
• Alexandra Constantinou Adams

  • Family Nurse Practitioner
  • Knoxville, TN
  • NPI 1538729603
  Medicare reassignment NPD
• James A Jones, CRNA

  • Certified Registered Nurse Anesthetist
  • Knoxville, TN
  • NPI 1427022540
  Medicare reassignment NPD
• Christopher Joseph Knapper, CRNA

  • Certified Registered Nurse Anesthetist
  • Knoxville, TN
  • NPI 1427362052
  Medicare reassignment NPD
• David J Leu, D.C.

  • Chiropractor
  • Johnson City, TN
  • NPI 1528000163
  NPD (past)

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

{
    "created_epoch": "1280966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454284800000",
    "number": "1265746978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 415000",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372410769",
            "telephone_number": "865-670-6199",
            "fax_number": "865-670-6198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 CLEVELAND ST",
            "address_2": "STE 310",
            "city": "CROSSVILLE",
            "state": "TN",
            "postal_code": "385559716",
            "telephone_number": "931-787-1940",
            "fax_number": "931-787-1943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLIGAN SURGICAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-05",
        "last_updated": "2016-02-01",
        "status": "A",
        "authorized_official_last_name": "MILLIGAN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "931-787-1940",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1519349",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Allison Paige Milam, MS BCBA
• Kathy A Millen, RN
• David Anthony Miller, D.PH.
• Karyn R Miller, OTR L
• Troy Lynn Miller, MD
• John Leslie Milligan, MD
• Mitchell Drug Company Inc
• Betty R Moffitt, NA
• Momentum Behavior Analysis, LLC
• Mehran Monazam Tavallaee, M.D.

• Surgery Physician in Crossville, TN
• Providers in Crossville, TN by specialty
• Surgery Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.