Active NPI
Dr. Edita P. Milan, PLLC
- Family Medicine Physician
- Bridgeport, WV
National Provider Identifier
1831419498
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- DR. EDITA P. MILAN, PLLC
- Practice address
- 153 W Main St
Bridgeport, WV 26330-1714 - Phone
- (304) 848-2403
- NPI assigned
- Jun 7, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Edita P Milan, MD
- Title
- Owner
- Phone
- (304) 848-2403
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
153 W Main St
Bridgeport, WV 26330-1714
Mailing address
153 W Main St
Bridgeport, WV 26330-1714
National Provider Directory
National Provider DirectoryLocations
153 W Main St
Bridgeport, WV 26330
Phone (304) 848-2400
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1275868800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1275868800000",
"number": "1831419498",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "153 W MAIN ST",
"city": "BRIDGEPORT",
"state": "WV",
"postal_code": "263301714"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "153 W MAIN ST",
"city": "BRIDGEPORT",
"state": "WV",
"postal_code": "263301714",
"telephone_number": "304-848-2403"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DR. EDITA P. MILAN, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-06-07",
"last_updated": "2010-06-07",
"status": "A",
"authorized_official_last_name": "MILAN",
"authorized_official_first_name": "EDITA",
"authorized_official_middle_name": "P",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "304-848-2403",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bridgeport, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.