Active NPI
John Michael Milburn, R.N.
- Family Nurse Practitioner
- Dover, OH
National Provider Identifier
1316389752
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- COA 15214-NP
- Practice address
- 340 Oxford St
Dover, OH 44622-1965 - Phone
- (330) 343-0753
- NPI assigned
- Jul 26, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 306142-RN | OH | |
| Family Nurse Practitioner | 363LF0000X | COA 15214-NP | OH | Primary |
Addresses
Primary practice location
340 Oxford St
Dover, OH 44622-1965
Mailing address
340 Oxford St
Dover, OH 44622-1965
Phone (330) 343-0753
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
- Certified Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 306142-RN | OH | MD | Registered Nurse |
| COA 15214-NP | OH | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1374796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1399075200000",
"number": "1316389752",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "340 OXFORD ST",
"city": "DOVER",
"state": "OH",
"postal_code": "446221965",
"telephone_number": "330-343-0753"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "340 OXFORD ST",
"city": "DOVER",
"state": "OH",
"postal_code": "446221965",
"telephone_number": "330-343-0753"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILBURN",
"first_name": "JOHN",
"middle_name": "MICHAEL",
"name_prefix": "Mr.",
"credential": "R.N.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-07-26",
"last_updated": "2014-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "OH",
"license": "306142-RN",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OH",
"license": "COA 15214-NP",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dover, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 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.