Active NPI
Michael McMillan, ATC
- Athletic Trainer
- Silver City, NM
National Provider Identifier
1700886025
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 358
- Practice address
- 1268 E 32ND St
Silver City, NM 88061-7229 - Phone
- (575) 534-1919
- Fax
- (575) 534-0135
- NPI assigned
- Jul 28, 2005
- Last updated
- Mar 2, 2009
- 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 |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 358 | NM | Primary |
Addresses
Primary practice location
1268 E 32ND St
Silver City, NM 88061-7229
Mailing address
1268 E 32ND St
Silver City, NM 88061-7229
Phone (575) 534-1919
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 358 | Other | NM | STATE LICENSE |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 358 | NM | MD | Acupuncturist |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Orthopaedic Surgery Physician
- Deming, NM
- NPI 1386083889
-
- Orthopaedic Surgery Physician
- Silver City, NM
- NPI 1841302379
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122508800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1235952000000",
"number": "1700886025",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1268 E 32ND ST",
"city": "SILVER CITY",
"state": "NM",
"postal_code": "880617229",
"telephone_number": "575-534-1919",
"fax_number": "575-534-0135"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1268 E 32ND ST",
"city": "SILVER CITY",
"state": "NM",
"postal_code": "880617229",
"telephone_number": "575-534-1919",
"fax_number": "575-534-0135"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCMILLAN",
"first_name": "MICHAEL",
"credential": "ATC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-28",
"last_updated": "2009-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "NM",
"license": "358",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "358",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Silver City, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.