Organization Active NPI

Neil S Millman DO PC

  • Adult Medicine Physician
  • Dearborn Heights, MI
National Provider Identifier
1275650954
Registry record updated Apr 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
NM005482 Issued in MI
Legal business name
NEIL S MILLMAN DO PC
Practice address
27235 Joy Rd
Dearborn Heights, MI 48127-1022
Phone
(313) 565-7500
NPI assigned
Mar 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2014

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

Authorized official

Name
Dr. Neil S Millman, DO
Title
President
Phone
(313) 565-7500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207QA0505X NM005482 MI Primary

Addresses

Primary practice location

27235 Joy Rd
Dearborn Heights, MI 48127-1022

Mailing address

27235 Joy Rd
Dearborn Heights, MI 48127-1022
Phone (313) 565-7500

Other identifiers 2

IdentifierTypeStateIssuer
111357668MedicaidMI
0858212894OtherMIBCBS OF MICHIGAN

National Provider Directory

National Provider Directory

Locations

27235 Joy Rd
Dearborn Hts, MI 48127
Phone (313) 274-7047

NPI Registry JSON

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398384000000",
    "number": "1275650954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27235 JOY RD",
            "city": "DEARBORN HEIGHTS",
            "state": "MI",
            "postal_code": "481271022",
            "telephone_number": "313-565-7500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27235 JOY RD",
            "city": "DEARBORN HEIGHTS",
            "state": "MI",
            "postal_code": "481271022",
            "telephone_number": "313-565-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEIL S MILLMAN DO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2014-04-25",
        "status": "A",
        "authorized_official_last_name": "MILLMAN",
        "authorized_official_first_name": "NEIL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "313-565-7500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": "MI",
            "license": "NM005482",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "111357668",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MICHIGAN",
            "identifier": "0858212894",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn Heights, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2014; 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.