Organization Active NPI

Michael J. Milne M.D., L.L.C.

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Saint Louis, MO
National Provider Identifier
1619062056
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
License
2003014166 Issued in MO
Legal business name
MICHAEL J. MILNE M.D., L.L.C.
Practice address
333 S Kirkwood Rd
Suite 203
St. Louis, MO 63122
Phone
(314) 966-6075
Fax
(314) 821-8377
NPI assigned
Oct 3, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Michael J. Milne, M.D.NPI 1194837328
Title
Owner
Phone
(314) 966-6075

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
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X 2003014166 MO Primary

Addresses

Primary practice location

333 S Kirkwood Rd
Suite 203
St. Louis, MO 63122

Mailing address

P.O. Box 504871
St. Louis, MO 63150
Phone (314) 966-6075

National Provider Directory

National Provider Directory

Locations

14825 North Outer 40 Rd
Chesterfield, MO 63017
Phone (314) 336-2555

333 S Kirkwood Rd
Ste 203
Saint Louis, MO 63122
Phone (314) 966-6075

Practitioners & affiliated clinicians

Practitioners 1

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": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1619062056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 504871",
            "city": "ST. LOUIS",
            "state": "MO",
            "postal_code": "63150",
            "telephone_number": "314-966-6075",
            "fax_number": "314-821-8377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 S KIRKWOOD RD",
            "address_2": "SUITE 203",
            "city": "ST. LOUIS",
            "state": "MO",
            "postal_code": "63122",
            "telephone_number": "314-966-6075",
            "fax_number": "314-821-8377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL J. MILNE M.D., L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MILNE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-966-6075",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "MO",
            "license": "2003014166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.