NPIMap

Organization Active NPI

Jack R. Milligan M.D., P.a.

  • Internal Medicine Physician
  • Dover, DE
National Provider Identifier
1487670733
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
C10005866 Issued in DE
Legal business name
JACK R. MILLIGAN M.D., P.A.
Practice address
766 S State St
Dover, DE 19901-4146
Phone
(302) 735-7730
Fax
(302) 735-4911
NPI assigned
Jul 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Jack Milligan, M.D.
Title
Owner
Phone
(302) 735-7730

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X C10005866 DE Primary

Addresses

Primary practice location

766 S State St
Dover, DE 19901-4146

Mailing address

766 S State St
Dover, DE 19901-4146
Phone (302) 735-7730

Other identifiers 1

IdentifierTypeStateIssuer
0001019401MedicaidDE

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/20198/brand/1/csg/1/fhir/r4

NPI Registry JSON

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1487670733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "766 S STATE ST",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199014146",
            "telephone_number": "302-735-7730",
            "fax_number": "302-735-4911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "766 S STATE ST",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199014146",
            "telephone_number": "302-735-7730",
            "fax_number": "302-735-4911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACK R. MILLIGAN M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MILLIGAN",
        "authorized_official_first_name": "JACK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "302-735-7730",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "DE",
            "license": "C10005866",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0001019401",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.