Active NPI
Eidi K Millington, MD
- Internal Medicine Physician
- Waxahachie, TX
National Provider Identifier
1336340694
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- M9506
- Practice address
- 1405 W Jefferson St
Waxahachie, TX 75165 - Phone
- (972) 923-7144
- Fax
- (972) 923-7145
- NPI assigned
- May 31, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | BP40022712 | TX | |
| Internal Medicine Physician | 207R00000X | M9506 | TX | Primary |
Addresses
Primary practice location
1405 W Jefferson St
Waxahachie, TX 75165
Mailing address
PO Box 842001
Dallas, TX 75284-2001
Phone (972) 923-7144
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 285842501 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BP40022712 | TX | MD | Internal Medicine Physician |
| M9506 | TX | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Health and Human Services Commission | Current | Accepting new patients | |
| Health and Human Services Commission | Current | Accepting new patients | |
| Health and Human Services Commission | Internal Medicine | Current | Accepting new patients |
Locations
2501 Maple St
Abilene, TX 79602
Phone (325) 692-4053
4001 Highway 36 S
Brenham, TX 77833
Phone (979) 277-1327
6844 N US Highway 69
Pollok, TX 75969
Phone (936) 634-3353
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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Internal Medicine
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1340150400000",
"number": "1336340694",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 842001",
"city": "DALLAS",
"state": "TX",
"postal_code": "752842001",
"telephone_number": "972-923-7144",
"fax_number": "972-923-7145"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1405 W JEFFERSON ST",
"city": "WAXAHACHIE",
"state": "TX",
"postal_code": "75165",
"telephone_number": "972-923-7144",
"fax_number": "972-923-7145"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLINGTON",
"first_name": "EIDI",
"middle_name": "K",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-31",
"last_updated": "2012-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "BP40022712",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "M9506",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "285842501",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Waxahachie, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.