Individual provider Active NPI

Marshall S. Millman, MD, PHD

  • Pain Medicine (Anesthesiology) Physician
  • Manchester, TN
National Provider Identifier
1538166277
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
MD24195 Issued in TN
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

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0153432OtherTNBLUE SHIELD
3073209MedicaidTN
2012585OtherTNAETNA HMO
2282875003OtherTNCIGNA PLAN 139
0522OtherTNHEALTH 123
2040214OtherTNUNITED HEALTHCARE
2282875004OtherTNCIGNA PLAN 110
4086511OtherTNAETNA 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041004000446 TN Practitioner - Interventional Pain ManagementPractitioner - Anesthesiology 1658330972

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
MD24195TNMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Diagnostic Imaging, PC CurrentSince Jan 1, 2015 Accepting new patients
Advanced Diagnostic Imaging PC CurrentSince Jan 1, 2015 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.

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

Sources for this page

Verify at the official NPI Registry.