Active NPI
Richard Hunt Macmillan III, MD
- Anatomic Pathology & Clinical Pathology Physician
- Charlottesville, VA
National Provider Identifier
1407822737
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 0101037032
- Practice address
- 500 Martha Jefferson Dr.
Charlottesville, VA 22911 - Phone
- (434) 654-7190
- Fax
- (434) 654-7944
- NPI assigned
- Feb 27, 2006
- Last updated
- Jan 5, 2018
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 0101037032 | VA | Primary |
Addresses
Primary practice location
500 Martha Jefferson Dr.
Charlottesville, VA 22911
Mailing address
PO Box 480
Lima, OH 45802-0480
Phone (866) 223-6316
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 080666 | Other | VA | BCBS # |
| 006600255 | Medicaid | VA |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101037032 | VA | MD | Anatomic Pathology & Clinical Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Martha Jefferson Hospital | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba Sentara Endoscopy Center
- Endoscopy Clinic/Center
- Charlottesville, VA
- NPI 1942189022
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140998400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1515110400000",
"number": "1407822737",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 480",
"city": "LIMA",
"state": "OH",
"postal_code": "458020480",
"telephone_number": "866-223-6316",
"fax_number": "419-223-2726"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 MARTHA JEFFERSON DR.",
"city": "CHARLOTTESVILLE",
"state": "VA",
"postal_code": "22911",
"telephone_number": "434-654-7190",
"fax_number": "434-654-7944"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACMILLAN",
"first_name": "RICHARD",
"middle_name": "HUNT",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-27",
"last_updated": "2018-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "VA",
"license": "0101037032",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS #",
"identifier": "080666",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "006600255",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Charlottesville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.