Marilyn Mason McMillen MD PSC

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

Legal business name

MARILYN MASON MCMILLEN MD PSC

Practice address

305 Langdon St
Somerset, KY 42501

Phone

(606) 678-8800

Fax

(606) 679-5238

NPI assigned

Mar 28, 2006

Organization subpart

No

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

Authorized official

Name

Marilyn Mason McMillen, MD

Title

President

Phone

(606) 678-8800

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1143504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367971200000",
    "number": "1386605798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3310",
            "city": "W SOMERSET",
            "state": "KY",
            "postal_code": "42564",
            "telephone_number": "606-678-8800",
            "fax_number": "606-679-5238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 LANGDON ST",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "42501",
            "telephone_number": "606-678-8800",
            "fax_number": "606-679-5238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARILYN MASON MCMILLEN MD PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-28",
        "last_updated": "2013-05-08",
        "status": "A",
        "authorized_official_last_name": "MCMILLEN",
        "authorized_official_first_name": "MARILYN",
        "authorized_official_middle_name": "MASON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "606-678-8800",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65928145",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "220031591",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Milad Mafi
• Jessica Marie Mahan
• Niha Mahboob, LPCC
• Sanaa Abdel-Rahman Mahmoud, M.D.
• Lisa Marcum, FNP
• Michael Alan Marks, M.D.
• Valorie Marlow, FNP-BC
• Benjamin Marshall, M.D.
• Karen Rae Marshall
• Mark J Martin, ARNP

• Anatomic Pathology & Clinical Pathology Physician in Somerset, KY
• Providers in Somerset, KY by specialty
• Anatomic Pathology & Clinical Pathology Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2013; 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.