Organization Active NPI

Milburn Medical LLC

  • Durable Medical Equipment & Medical Supplies
  • Overland Park, KS
National Provider Identifier
1356533913
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
004-F-01 Issued in KS
Legal business name
MILBURN MEDICAL LLC
Practice address
9303 W 75TH St
Suite 110
Overland Park, KS 66204-2234
Phone
(913) 341-8222
Fax
(913) 341-8272
NPI assigned
Aug 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Lisa L Milburn, CPED COFNPI 1700833506
Title
President
Phone
(913) 341-8222

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 004-F-01 KS Primary
Customized Equipment (DME) 332BC3200X 004-F-01 KS

Addresses

Primary practice location

9303 W 75TH St
Suite 110
Overland Park, KS 66204-2234

Mailing address

9303 W 75TH St
Suite 110
Overland Park, KS 66204-2234
Phone (913) 341-8222

Other identifiers 1

IdentifierTypeStateIssuer
35093021OtherKSBCBS OF KANSAS CITY

National Provider Directory

National Provider Directory

Locations

9303 W 75th St
Ste 110
Overland Park, KS 66204
Phone (913) 341-8222

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1187222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1356533913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9303 W 75TH ST",
            "address_2": "SUITE 110",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662042234",
            "telephone_number": "913-341-8222",
            "fax_number": "913-341-8272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9303 W 75TH ST",
            "address_2": "SUITE 110",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662042234",
            "telephone_number": "913-341-8222",
            "fax_number": "913-341-8272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILBURN MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-16",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "MILBURN",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "913-341-8222",
        "authorized_official_credential": "CPED COF"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "KS",
            "license": "004-F-01",
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "KS",
            "license": "004-F-01",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF KANSAS CITY",
            "identifier": "35093021",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.