Samuel Lymon Milligan, MD

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

01024383 Issued in IN

Practice address

710 Park Place
Mishawaka, IN 46545-3519

Phone

(574) 273-6787

Fax

(574) 968-0882

NPI assigned

Jul 22, 2005

Sex

Male

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Nephrology Physicians LLC

  • Nephrology Physician
  • Mishawaka, IN
  • NPI 1518996719
  NPD
• Nephrology Inc.

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Mishawaka, IN
  • NPI 1114125945
  NPD (past)

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

{
    "created_epoch": "1121990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363651200000",
    "number": "1407856271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 E DAY RD",
            "address_2": "SUITE 300",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465453471",
            "telephone_number": "574-273-6787",
            "fax_number": "574-968-0882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 PARK PLACE",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465453519",
            "telephone_number": "574-273-6787",
            "fax_number": "574-968-0882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLIGAN",
        "first_name": "SAMUEL",
        "middle_name": "LYMON",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-22",
        "last_updated": "2013-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "IN",
            "license": "01024383",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100326470A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John A. Miller, D.C.
• John Thomas Miller, RPH
• Mark Andrew Miller
• Samantha Miller
• Travis Miller
• William Garrett Milosevich
• Perry Minner Jr., LCSW
• Miracle Homecare LLC
• Miracle Lane Family Dentistry P.C.
• Pedro A Miro, MD

• Nephrology Physician in Mishawaka, IN
• Providers in Mishawaka, IN by specialty
• Nephrology Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 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.