Charyse M McMillion, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

34009891 Issued in OH

Practice address

1605 State Rd
Vineyard Square Plaza, #9
Vermilion, OH 44089-9141

Phone

(440) 967-1128

Fax

(440) 967-1172

NPI assigned

Sep 11, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Interoperability endpoints

• Direct secure messaging: charyse.mcmillion.p11@direct.loraincountyhealth.nextgenshare.com

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

{
    "created_epoch": "1189468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394755200000",
    "number": "1316132582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1605 STATE RD",
            "address_2": "VINEYARD SQUARE PLAZA, #9",
            "city": "VERMILION",
            "state": "OH",
            "postal_code": "440899141",
            "telephone_number": "440-967-1128",
            "fax_number": "440-967-1172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1605 STATE RD",
            "address_2": "VINEYARD SQUARE PLAZA, #9",
            "city": "VERMILION",
            "state": "OH",
            "postal_code": "440899141",
            "telephone_number": "440-967-1128",
            "fax_number": "440-967-1172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMILLION",
        "first_name": "CHARYSE",
        "middle_name": "M",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-11",
        "last_updated": "2014-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34009891",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0236248",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3067354",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Debra Ann Mayne
• Domonique McAllister
• Rebecca Jean McClain, PTA
• Kayla Ann McCroskey, STNA
• Thomas McFarland
• Medic Aid Supplies
• Alyssa Renae Melendez, M.A. CCC-SLP
• Mercy Health Physicians Lorain Specialty Care LLC
• Stephen E Meyer, MD
• Miklos Center for Health and Wellness, LLC

• Family Medicine Physician in Vermilion, OH
• Providers in Vermilion, OH by specialty
• Family Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 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.