Individual provider Active NPI

Stevan J. Milhoan, MD

  • Internal Medicine Physician
  • Vienna, WV
National Provider Identifier
1780661652
Registry record updated Aug 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
15193 Issued in WV
Practice address
2200 Grand Central Ave
Ste 110
Vienna, WV 26105-1300
Phone
(304) 295-9000
Fax
(304) 295-0605
NPI assigned
Dec 30, 2005
Last updated
Aug 29, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 29, 2008

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 15193 WV
Internal Medicine Physician 207R00000X 15193 WV Primary
Pediatrics Physician 208000000X 15193 WV

Addresses

Primary practice location

2200 Grand Central Ave
Ste 110
Vienna, WV 26105-1300

Mailing address

2200 Grand Central Ave
Ste 110
Vienna, WV 26105-1300
Phone (304) 295-9000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040202000244 WV Practitioner - Pediatric MedicinePractitioner - Internal Medicine 5193628576 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
95.34 of 100Reported as apm
Quality
79.86
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
15193WVMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Camden-Clark Physician Corporation CurrentSince Mar 1, 2011 Accepting new patients
Community Health Association Past Accepting new patients
Bestpractices of West Virginia, Inc. Emergency Medicine Past Accepting new patients
4M Emergency Systems of Parkersburg, Inc Emergency Medicine Past Accepting new patients
Columbia-St. Josephs Healthcare System Limited Partnership Internal Medicine Past Accepting new patients
Hospitalist Medicine Physicians of Wood County, PLLC Internal Medicine Past Accepting new patients
Hospitalist Medicine Physicians of West Virginia, PLLC Internal Medicine Past Accepting new patients
Camden Clark Memorial Hospital Corporation Past Accepting new patients

Locations

1824 Murdoch Ave
Parkersburg, WV 26101
Phone (304) 424-4057

418 Grand Park Dr
Ste 311
Parkersburg, WV 26105
Phone (304) 485-7700

800 Garfield Ave
Parkersburg, WV 26101
Phone (304) 420-7161

800 Garfield Ave
Rm G101
Parkersburg, WV 26101
Phone (304) 422-0405

122 Pinnell St
Ripley, WV 25271
Phone (304) 373-1544

314 S Wells St
Sistersville, WV 26175
Phone (304) 652-2399

2200 Grand Central Ave
Ste 110
Vienna, WV 26105
Phone (304) 295-9000

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1135900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219968000000",
    "number": "1780661652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 GRAND CENTRAL AVE",
            "address_2": "STE 110",
            "city": "VIENNA",
            "state": "WV",
            "postal_code": "261051300",
            "telephone_number": "304-295-9000",
            "fax_number": "304-295-0605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 GRAND CENTRAL AVE",
            "address_2": "STE 110",
            "city": "VIENNA",
            "state": "WV",
            "postal_code": "261051300",
            "telephone_number": "304-295-9000",
            "fax_number": "304-295-0605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILHOAN",
        "first_name": "STEVAN",
        "middle_name": "J.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-30",
        "last_updated": "2008-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WV",
            "license": "15193",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WV",
            "license": "15193",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "WV",
            "license": "15193",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vienna, WV

Sources for this page

Verify at the official NPI Registry.