Active NPI
Margaret Sidles Millar, MD
- Emergency Medicine Physician
- Moline, IL
National Provider Identifier
1447239173
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 036.078142
- Practice address
- 600 John Deere Rd
Ste 401
Moline, IL 61265 - Phone
- (309) 779-4950
- Fax
- (309) 779-4905
- NPI assigned
- Jan 11, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Legal Medicine | 173000000X | |||
| Family Medicine Physician | 207Q00000X | 036-078142 | IL | |
| Emergency Medicine Physician | 207P00000X | 036.078142 | IL | Primary |
Addresses
Primary practice location
600 John Deere Rd
Ste 401
Moline, IL 61265
Mailing address
600 John Deere Rd
Ste 401
Moline, IL 61265-6869
Phone (309) 779-4950
Other practice location 1
403 E 1st St
Dixon, IL 61021-3116
Phone (815) 285-5552
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00009683 | Other | IL | RR MEDICARE |
| 0360781422 | Medicaid | IL | |
| 200345 | Other | IL | ILLINOIS MEDICARE |
| 8132014 | Other | IL | ILLINOIS BLUE |
| F400293098 | Other | IL | MEDICARE PTAN |
| 1447239173 | Medicaid | IA |
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 |
|---|---|---|---|
| 036.078142 | IL | MD | Emergency Medicine Physician |
| 036-078142 | IL | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136937600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1536105600000",
"number": "1447239173",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 JOHN DEERE RD",
"address_2": "STE 401",
"city": "MOLINE",
"state": "IL",
"postal_code": "612656869",
"telephone_number": "309-779-4950",
"fax_number": "309-779-4905"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 JOHN DEERE RD",
"address_2": "STE 401",
"city": "MOLINE",
"state": "IL",
"postal_code": "61265",
"telephone_number": "309-779-4950",
"fax_number": "309-779-4905"
}
],
"practiceLocations": [
{
"address_1": "403 E 1st St",
"address_purpose": "LOCATION",
"city": "Dixon",
"state": "IL",
"postal_code": "610213116",
"country_code": "US",
"telephone_number": "815-285-5552",
"fax_number": "815-285-5865",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MILLAR",
"first_name": "MARGARET",
"middle_name": "SIDLES",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-11",
"last_updated": "2018-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "173000000X",
"taxonomy_group": "",
"desc": "Legal Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IL",
"license": "036-078142",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "IL",
"license": "036.078142",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "00009683",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0360781422",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ILLINOIS MEDICARE",
"identifier": "200345",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ILLINOIS BLUE",
"identifier": "8132014",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "F400293098",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1447239173",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Moline, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 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.