Organization Active NPI

McMillan Institute of Regenerative Orthopedics, PC

  • Orthopaedic Surgery Physician
  • Turlock, CA
National Provider Identifier
1639626500
Registry record updated Dec 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
MCMILLAN INSTITUTE OF REGENERATIVE ORTHOPEDICS, PC
Practice address
1069 E Hawkeye Ave Ste C
Turlock, CA 95380-2618
Phone
(209) 272-7442
Fax
(209) 272-7443
NPI assigned
Sep 8, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2016

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

Authorized official

Name
Dr. Eric McMillan, MDNPI 1831189307
Title
President
Phone
(209) 272-7442

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
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X Primary

Addresses

Primary practice location

1069 E Hawkeye Ave Ste C
Turlock, CA 95380-2618

Mailing address

PO Box 1123
Turlock, CA 95381-1123

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170110000929 CA Part B Supplier - Clinic/Group Practice 7416238258 Receives reassigned benefits from 1 practitioner
Practice locations: Turlock, CA

National Provider Directory

National Provider Directory

Locations

1069 E Hawkeye Ave
Ste C
Turlock, CA 95380
Phone (209) 272-7442

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1473292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482796800000",
    "number": "1639626500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1123",
            "city": "TURLOCK",
            "state": "CA",
            "postal_code": "953811123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1069 E HAWKEYE AVE STE C",
            "city": "TURLOCK",
            "state": "CA",
            "postal_code": "953802618",
            "telephone_number": "209-272-7442",
            "fax_number": "209-272-7443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCMILLAN INSTITUTE OF REGENERATIVE ORTHOPEDICS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-08",
        "last_updated": "2016-12-27",
        "status": "A",
        "authorized_official_last_name": "MCMILLAN",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "209-272-7442",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Turlock, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2016; 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.