Jeffrey T Macmillan MD PA

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

04-25519 Issued in KS

Legal business name

JEFFREY T MACMILLAN MD PA

Practice address

12200 W 106TH St
Overland Park, KS 66215-2300

Phone

(913) 894-2121

Fax

(913) 894-9592

NPI assigned

Oct 12, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Jeffrey T Macmillan, MD

Title

Owner

Phone

(913) 894-2121

Specialties & licenses 1

Addresses

Other identifiers 5

Other names 1

• JEFFREY T MACMILLAN MD PA Doing business as

Locations

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223424000000",
    "number": "1295824738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9119 W 74TH ST",
            "address_2": "SUITE 354",
            "city": "MERRIAM",
            "state": "KS",
            "postal_code": "662042215",
            "telephone_number": "913-894-2121",
            "fax_number": "913-894-9592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12200 W 106TH ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662152300",
            "telephone_number": "913-894-2121",
            "fax_number": "913-894-9592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY T MACMILLAN MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-12",
        "last_updated": "2008-10-08",
        "status": "A",
        "authorized_official_last_name": "MACMILLAN",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "913-894-2121",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "KS",
            "license": "04-25519",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE GROUP #",
            "identifier": "DG2851",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100171940A",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS KC",
            "identifier": "21793020",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR",
            "identifier": "200030413",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "208162701",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JEFFREY T MACMILLAN MD PA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Orthopaedic Surgery Physician in Overland Park, KS
• Providers in Overland Park, KS by specialty
• Orthopaedic Surgery Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2008; 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.