NPIMap

Organization Active NPI

S J Millen, MD.SC

  • Otology & Neurotology Physician
  • Hales Corners, WI
National Provider Identifier
1568664894
Registry record updated Jan 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otology & Neurotology PhysicianTaxonomy code 207YX0901X
Legal business name
S J MILLEN, MD.SC
Practice address
11035 W Forest Home Ave
Suite 108
Hales Corners, WI 53130-2541
Phone
(414) 529-3215
Fax
(414) 529-3214
NPI assigned
May 31, 2007
Last updated
Jan 27, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2015

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

Authorized official

Name
Dr. Steven J Millen, M.D.NPI 1710944954
Title
Neuro-Otologist
Phone
(414) 529-3215

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Otology & Neurotology Physician 207YX0901X NU Primary
Audiologist 231H00000X NU

Addresses

Primary practice location

11035 W Forest Home Ave
Suite 108
Hales Corners, WI 53130-2541

Mailing address

11035 W Forest Home Ave
Suite 108
Hales Corners, WI 53130-2541
Phone (414) 529-3215

Other identifiers 1

IdentifierTypeStateIssuer
30251900MedicaidWI

National Provider Directory

National Provider Directory

Locations

11035 W Forest Home Ave
#108
Hales Corners, WI 53130
Phone (414) 529-3215

Practitioners & affiliated clinicians

Practitioners 6

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": "1180569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422316800000",
    "number": "1568664894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11035 W FOREST HOME AVE",
            "address_2": "SUITE 108",
            "city": "HALES CORNERS",
            "state": "WI",
            "postal_code": "531302541",
            "telephone_number": "414-529-3215",
            "fax_number": "414-529-3214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11035 W FOREST HOME AVE",
            "address_2": "SUITE 108",
            "city": "HALES CORNERS",
            "state": "WI",
            "postal_code": "531302541",
            "telephone_number": "414-529-3215",
            "fax_number": "414-529-3214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S J MILLEN, MD.SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-31",
        "last_updated": "2015-01-27",
        "status": "A",
        "authorized_official_last_name": "MILLEN",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "NEURO-OTOLOGIST",
        "authorized_official_telephone_number": "414-529-3215",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207YX0901X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otology & Neurotology",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30251900",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hales Corners, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2015; 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.