Active NPI
Joel Adrian Milliner, M.D.
- General Practice Physician
- Ferndale, MI
National Provider Identifier
1346438140
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(4) exclusion effective Aug 20, 2015.
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 4301079083
- Practice address
- 340 E Lewiston Ave
Suite a
Ferndale, MI 48220-1354 - Phone
- (313) 570-9041
- Fax
- (248) 545-2135
- NPI assigned
- Oct 5, 2007
- Last updated
- Dec 22, 2010
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 4301079083 | MI | Primary |
Addresses
Primary practice location
340 E Lewiston Ave
Suite a
Ferndale, MI 48220-1354
Mailing address
340 E Lewiston Ave
Suite a
Ferndale, MI 48220-1354
Phone (313) 570-9041
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)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301079083 | MI | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elite Wellness LLC | Past | Accepting new patients | |
| Professional Medical Center PC | Past | Accepting new patients | |
| Infusal Direct, Inc. | Past | Accepting new patients | |
| Marlon Incorporated | Past | Accepting new patients |
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Practice Physician
- Ferndale, MI
- NPI 1265715700
-
- Internal Medicine Physician
- Westland, MI
- NPI 1174765515
-
- Legal Medicine
- Detroit, MI
- NPI 1659569796
-
- Clinic/Center
- Southfield, MI
- NPI 1891944674
-
- Pediatrics Physician
- Detroit, MI
- NPI 1619985058
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191542400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1292976000000",
"number": "1346438140",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "340 E LEWISTON AVE",
"address_2": "SUITE A",
"city": "FERNDALE",
"state": "MI",
"postal_code": "482201354",
"telephone_number": "313-570-9041",
"fax_number": "248-545-2135"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "340 E LEWISTON AVE",
"address_2": "SUITE A",
"city": "FERNDALE",
"state": "MI",
"postal_code": "482201354",
"telephone_number": "313-570-9041",
"fax_number": "248-545-2135"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLINER",
"first_name": "JOEL",
"middle_name": "ADRIAN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-10-05",
"last_updated": "2010-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "MI",
"license": "4301079083",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ferndale, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.