Active NPI
Charles D Milligan, D.O.
- Family Medicine Physician
- Orrville, OH
National Provider Identifier
1770560534
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 34002743
- Practice address
- 365 S Crown Hill Rd
Orrville, OH 44667-9527 - Phone
- (330) 682-3075
- Fax
- (330) 682-7454
- NPI assigned
- Dec 22, 2005
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 34002743 | OH | Primary |
| Neuromusculoskeletal Medicine & OMM Physician | 204D00000X | 34002743 | OH |
Addresses
Primary practice location
365 S Crown Hill Rd
Orrville, OH 44667-9527
Mailing address
365 S Crown Hill Rd
Orrville, OH 44667-9527
Phone (330) 682-3075
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 565 | Other | OH | SUMMACARE |
| 020488800 | Other | OH | FEDERAL BLACK LUNG |
| 000000127744 | Other | OH | ANTHEM |
| 00443765 | Medicaid | OH | |
| 341131413C | Other | OH | AULTCARE |
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 Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34002743 | OH | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135209600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1386547200000",
"number": "1770560534",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "365 S CROWN HILL RD",
"city": "ORRVILLE",
"state": "OH",
"postal_code": "446679527",
"telephone_number": "330-682-3075",
"fax_number": "330-682-7454"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "365 S CROWN HILL RD",
"city": "ORRVILLE",
"state": "OH",
"postal_code": "446679527",
"telephone_number": "330-682-3075",
"fax_number": "330-682-7454"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLIGAN",
"first_name": "CHARLES",
"middle_name": "D",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-22",
"last_updated": "2013-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OH",
"license": "34002743",
"primary": true
},
{
"code": "204D00000X",
"taxonomy_group": "",
"desc": "Neuromusculoskeletal Medicine & OMM",
"state": "OH",
"license": "34002743",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SUMMACARE",
"identifier": "565",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FEDERAL BLACK LUNG",
"identifier": "020488800",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000127744",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00443765",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AULTCARE",
"identifier": "341131413C",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Orrville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.