Active NPI
Henry David Millit, MD
- Cardiovascular Disease Physician
- Wheeling, WV
National Provider Identifier
1639170020
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 12316
- Practice address
- 10 Medical Park
Suite 104
Wheeling, WV 26003-6389 - Phone
- (304) 242-4800
- Fax
- (304) 242-3580
- NPI assigned
- Aug 9, 2005
- Last updated
- Oct 9, 2012
- 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 |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 12316 | WV | Primary |
Addresses
Primary practice location
10 Medical Park
Suite 104
Wheeling, WV 26003-6389
Mailing address
10 Medical Park
Suite 104
Wheeling, WV 26003-6389
Phone (304) 242-4800
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000563574 | Other | MOUNTAIN STATE BCBS | |
| 0531866 | Medicaid | OH | |
| 55068487100 | Other | OH | OHIO BWC |
| 151482200 | Other | FEDERAL WORKERS COMPENSAT | |
| 12316C | Other | HEALTH PLAN OF UPPER OH V | |
| 55035705700 | Other | WV | WV COMPENSATION |
| 0087318000 | Medicaid | WV |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1349740800000",
"number": "1639170020",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 MEDICAL PARK",
"address_2": "SUITE 104",
"city": "WHEELING",
"state": "WV",
"postal_code": "260036389",
"telephone_number": "304-242-4800",
"fax_number": "304-242-3580"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 MEDICAL PARK",
"address_2": "SUITE 104",
"city": "WHEELING",
"state": "WV",
"postal_code": "260036389",
"telephone_number": "304-242-4800",
"fax_number": "304-242-3580"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLIT",
"first_name": "HENRY",
"middle_name": "DAVID",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-09",
"last_updated": "2012-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "WV",
"license": "12316",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MOUNTAIN STATE BCBS",
"identifier": "000563574",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0531866",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OHIO BWC",
"identifier": "55068487100",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FEDERAL WORKERS COMPENSAT",
"identifier": "151482200",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH PLAN OF UPPER OH V",
"identifier": "12316C",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WV COMPENSATION",
"identifier": "55035705700",
"state": "WV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0087318000",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}Other providers in Wheeling, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.