Active NPI
Marshall S. Millman, MD, PHD
- Pain Medicine (Anesthesiology) Physician
- Manchester, TN
National Provider Identifier
1538166277
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- License
- MD24195
- Practice address
- 2345 Murfreesboro Hwy
Manchester, TN 37355-3206 - Phone
- (931) 728-5607
- Fax
- (931) 728-8354
- NPI assigned
- Jul 7, 2005
- 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 |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | MD24195 | TN | Primary |
Addresses
Primary practice location
2345 Murfreesboro Hwy
Manchester, TN 37355-3206
Mailing address
PO Box 299
Manchester, TN 37349-0299
Phone (931) 728-5607
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0153432 | Other | TN | BLUE SHIELD |
| 3073209 | Medicaid | TN | |
| 2012585 | Other | TN | AETNA HMO |
| 2282875003 | Other | TN | CIGNA PLAN 139 |
| 0522 | Other | TN | HEALTH 123 |
| 2040214 | Other | TN | UNITED HEALTHCARE |
| 2282875004 | Other | TN | CIGNA PLAN 110 |
| 4086511 | Other | TN | AETNA PPO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041004000446 | TN | Practitioner - Interventional Pain Management | 1658330972 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD24195 | TN | MD | Pain Medicine (Anesthesiology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Diagnostic Imaging, PC | Current | Accepting new patients | |
| Advanced Diagnostic Imaging PC | Current | Accepting new patients |
Locations
2345 Murfreesboro Hwy
Manchester, TN 37355
Phone (931) 728-5479
1800 Medical Center Pkwy
Ste 300
Murfreesboro, TN 37129
Phone (615) 848-0488
3443 Dickerson Pike
Ste 400
Nashville, TN 37207
Phone (615) 612-2146
Organizations & group practices 2
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.
-
- Durable Medical Equipment & Medical Supplies
- Lewisburg, TN
- NPI 1922846559
-
- Internal Medicine Physician
- Goodlettsville, TN
- NPI 1093741464
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1538166277",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 299",
"city": "MANCHESTER",
"state": "TN",
"postal_code": "373490299",
"telephone_number": "931-728-5607",
"fax_number": "931-728-8354"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2345 MURFREESBORO HWY",
"city": "MANCHESTER",
"state": "TN",
"postal_code": "373553206",
"telephone_number": "931-728-5607",
"fax_number": "931-728-8354"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLMAN",
"first_name": "MARSHALL",
"middle_name": "S.",
"name_prefix": "Dr.",
"credential": "MD, PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "TN",
"license": "MD24195",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "0153432",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3073209",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HMO",
"identifier": "2012585",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA PLAN 139",
"identifier": "2282875003",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH 123",
"identifier": "0522",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "2040214",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA PLAN 110",
"identifier": "2282875004",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PPO",
"identifier": "4086511",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Manchester, TN
- Michael Reynolds Counseling & Consulting PLLC
- Middle Tennessee Foot Associates P C
- Middle Tennessee Radiology Associates PC
- Middle Tennessee Surgical Associates, PLLC
- Jesse Lauren Miller, LMSW
- Maggie Keele Millraney, CCC-SLP
- Rebecca Susan Minger, RN
- Alana Moore, NP
- Morgen Lynn Moore, LMT
- Lili Nell Moran, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.