Lisa L. Milder, D.O.

Primary specialty

Neuromusculoskeletal Medicine & OMM PhysicianTaxonomy code 204D00000X

License

DO 00423 Issued in RI

Practice address

2740 S County TRL
East Greenwich, RI 02818-1730

Phone

(401) 886-7030

Fax

(401) 886-7031

NPI assigned

Nov 21, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jan 24, 2017 through Jan 24, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

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.

• Simon Melnick DO, LTD

  • General Practice Physician
  • East Greenwich, RI
  • NPI 1316181316
  NPD (past)

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375660800000",
    "number": "1366517666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2740 S COUNTY TRL",
            "address_2": "SUITE 2",
            "city": "EAST GREENWICH",
            "state": "RI",
            "postal_code": "028181730",
            "telephone_number": "401-886-7030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2740 S COUNTY TRL",
            "city": "EAST GREENWICH",
            "state": "RI",
            "postal_code": "028181730",
            "telephone_number": "401-886-7030",
            "fax_number": "401-886-7031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILDER",
        "first_name": "LISA",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-21",
        "last_updated": "2013-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "RI",
            "license": "DO 00423",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "0101654",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Donnelly McQuiggan, M.D.
• Mdri LLC
• Kelsey Melucci, AUD
• Taylor Meyerjack, PT
• Michael W. Lucarelli D.O.,Inc.
• Lauren Miller, LICSW
• Richard William Miller, M.D.
• Robert E Miller, OD
• Carolyn Milner, ATC
• Xochitl Montserrat Minakin, RN

• Neuromusculoskeletal Medicine & OMM Physician in East Greenwich, RI
• Providers in East Greenwich, RI by specialty
• Neuromusculoskeletal Medicine & OMM Physician in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2013; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.