Michael Andrew Millin, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

34.005495 Issued in OH

Practice address

1932 Niles Cortland Rd NE Ste P
Warren, OH 44484-1055

Phone

(308) 567-7023

Fax

(330) 856-1096

NPI assigned

Jun 6, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

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.

• Athens Medical Associates, LLC

  • Obstetrics & Gynecology Nurse Practitioner
  • Athens, OH
  • NPI 1467583203
  NPD (past)
• Athens Medical Associates, LLC

  • Family Medicine Physician
  • Athens, OH
  • NPI 1982714358
  NPD (past)

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605744000000",
    "number": "1487693271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3875 TAMARA TRL",
            "city": "HERMITAGE",
            "state": "PA",
            "postal_code": "161486161",
            "telephone_number": "724-983-7970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1932 NILES CORTLAND RD NE STE P",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444841055",
            "telephone_number": "308-567-7023",
            "fax_number": "330-856-1096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLIN",
        "first_name": "MICHAEL",
        "middle_name": "ANDREW",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2020-11-19",
        "certification_date": "2020-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "34005495",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS012515",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34.005495",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2061843",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE TRAVELERS RR-GA",
            "identifier": "P00288742",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "M10839692",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102552777",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARESOURCE",
            "identifier": "942460636408",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ruthanne N/a Miller
• Simone Jourdaine Miller, L.P.N.
• Stacey Miller, RN
• Sydney Miller
• Tawnya R Miller, LPN
• Susan Mills, R.N.
• Tajuanna Deanne Mills
• John Mintus, CDCA
• Angeline Miranda
• Adam Mirkin, CDCA

• Family Medicine Physician in Warren, OH
• Providers in Warren, OH by specialty
• Family Medicine Physician in Ohio

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