Active NPI
Mary J Milroy, MD
- Surgery Physician
- Yankton, SD
National Provider Identifier
1306847298
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 1569
- Practice address
- 1104 W 8TH St
Yankton, SD 57078-3306 - Phone
- (605) 665-7841
- Fax
- (605) 665-0546
- NPI assigned
- Aug 2, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 1569 | SD | Primary |
Addresses
Primary practice location
1104 W 8TH St
Yankton, SD 57078-3306
Mailing address
1104 W 8TH St
Yankton, SD 57078-3306
Phone (605) 665-7841
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7301210 | Medicaid | SD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1192060800000",
"number": "1306847298",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1104 W 8TH ST",
"city": "YANKTON",
"state": "SD",
"postal_code": "570783306",
"telephone_number": "605-665-7841",
"fax_number": "605-665-0546"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1104 W 8TH ST",
"city": "YANKTON",
"state": "SD",
"postal_code": "570783306",
"telephone_number": "605-665-7841",
"fax_number": "605-665-0546"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILROY",
"first_name": "MARY",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-02",
"last_updated": "2007-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "SD",
"license": "1569",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7301210",
"state": "SD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Yankton, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.