Organization Active NPI

Martin J. Milne, MD, PA

  • Oral and Maxillofacial Surgery Clinic/Center
  • Clearwater, FL
National Provider Identifier
1558634048
Registry record updated Feb 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery Clinic/CenterTaxonomy code 261QS0112X
License
ME0076664 Issued in FL
Legal business name
MARTIN J. MILNE, MD, PA
Practice address
25400 US Highway 19 N Ste 201
Clearwater, FL 33763-2144
Phone
(727) 669-6411
Fax
(727) 669-8231
NPI assigned
Feb 15, 2012
Last updated
Feb 15, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2012

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

Authorized official

Name
Dr. Martin Joseph Milne, MD.NPI 1942352810
Title
Owner
Phone
(727) 669-6411

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery Clinic/Center 261QS0112X ME0076664 FL Primary

Addresses

Primary practice location

25400 US Highway 19 N Ste 201
Clearwater, FL 33763-2144

Mailing address

25400 US Highway 19 N Ste 201
Clearwater, FL 33763-2144
Phone (727) 669-6411

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120220000087 FL Part B Supplier - Clinic/Group Practice 4587822754 Receives reassigned benefits from 1 practitioner
Practice locations: Clearwater, FL

National Provider Directory

National Provider Directory

Locations

25400 US Highway 19 N
Clearwater, FL 33763
Phone (727) 669-6411

25400 US Highway 19 N
Ste 201
Clearwater, FL 33763
Phone (727) 669-6411

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1329264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329264000000",
    "number": "1558634048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25400 US HIGHWAY 19 N STE 201",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337632144",
            "telephone_number": "727-669-6411",
            "fax_number": "727-669-8231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25400 US HIGHWAY 19 N STE 201",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337632144",
            "telephone_number": "727-669-6411",
            "fax_number": "727-669-8231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTIN J. MILNE, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-15",
        "last_updated": "2012-02-15",
        "status": "A",
        "authorized_official_last_name": "MILNE",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-669-6411",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD."
    },
    "taxonomies": [
        {
            "code": "261QS0112X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oral and Maxillofacial Surgery",
            "state": "FL",
            "license": "ME0076664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.