Individual provider Active NPI

Eric R McMillan, M.D.

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Turlock, CA
National Provider Identifier
1831189307
Registry record updated Nov 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
License
G84397 Issued in CA
Practice address
1069 E Hawkeye Ave Ste C
Turlock, CA 95380-2618
Phone
(209) 272-7442
Fax
(209) 272-7443
NPI assigned
Oct 26, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X G84397 CA Primary

Addresses

Primary practice location

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

Mailing address

PO Box 1123
Turlock, CA 95381-1123
Phone (209) 272-7442

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20041119000539 CA Practitioner - Orthopedic Surgery 1951366855 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Medical College of Wisconsin, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1069 E Hawkeye Ave
Suite C
Turlock, CA 95380-2618
Phone (209) 272-7442

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G84397CAMDSports Medicine (Orthopaedic Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
McMillan Institute of Regenerative Orthopedics, PC CurrentSince Aug 24, 2016 Accepting new patients
Emanuel Medical Center, Inc. Past Accepting new patients
Central Cal Orthopedic Medical Associates, Inc. Past Accepting new patients
Sutter Valley Hospitals Past Accepting new patients
Doctors Medical Center of Modesto, Inc. Past Accepting new patients

Locations

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

Interoperability endpoints

  • Direct secure messaging: eric.mcmillan@1280.chartlogic.direct-ci.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1130284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543363200000",
    "number": "1831189307",
    "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",
            "telephone_number": "209-272-7442",
            "fax_number": "209-272-7443"
        },
        {
            "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": {
        "last_name": "MCMILLAN",
        "first_name": "ERIC",
        "middle_name": "R",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-26",
        "last_updated": "2018-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "CA",
            "license": "G84397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Turlock, CA

Sources for this page

Verify at the official NPI Registry.