Active NPI
J. Scott Millikan, MD
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Phoenix, AZ
National Provider Identifier
1841373693
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- License
- 63623
- Practice address
- 500 W Thomas Rd Ste 500
Phoenix, AZ 85013-4220 - Phone
- (602) 406-4000
- Fax
- (602) 406-6498
- NPI assigned
- Oct 23, 2006
- Last updated
- Apr 16, 2021
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Undersea and Hyperbaric Medicine (Emergency Medicine) Physician | 207PE0005X | 5293 | MT | |
| Undersea and Hyperbaric Medicine (Preventive Medicine) Physician | 2083P0011X | 5293 | MT | |
| Vascular Surgery Physician | 2086S0129X | 5293 | MT | |
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | 63623 | AZ | Primary |
Addresses
Primary practice location
500 W Thomas Rd Ste 500
Phoenix, AZ 85013-4220
Mailing address
500 W Thomas Rd Ste 500
Phoenix, AZ 85013-4220
Phone (602) 406-4000
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 105147400 | Other | WY | MDCD PIN |
| 0109720 | Other | MT | MDCD PIN |
| 000092110 | Other | MT | BCBS PIN |
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 Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5293 | MT | MD | Undersea and Hyperbaric Medicine (Preventive Medicine) Physician |
| 63623 | AZ | MD | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frances Mahon Deaconess Hospital | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Critical Access Hospital
- Glasgow, MT
- NPI 1689685323
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1618531200000",
"number": "1841373693",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 W THOMAS RD STE 500",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850134220",
"telephone_number": "602-406-4000",
"fax_number": "602-406-6498"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 W THOMAS RD STE 500",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850134220",
"telephone_number": "602-406-4000",
"fax_number": "602-406-6498"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLIKAN",
"first_name": "J.",
"middle_name": "SCOTT",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-23",
"last_updated": "2021-04-16",
"certification_date": "2021-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "207PE0005X",
"taxonomy_group": "",
"desc": "Emergency Medicine, Undersea and Hyperbaric Medicine",
"state": "MT",
"license": "5293",
"primary": false
},
{
"code": "2083P0011X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Undersea and Hyperbaric Medicine",
"state": "MT",
"license": "5293",
"primary": false
},
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "MT",
"license": "5293",
"primary": false
},
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "AZ",
"license": "63623",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MDCD PIN",
"identifier": "105147400",
"state": "WY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MDCD PIN",
"identifier": "0109720",
"state": "MT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PIN",
"identifier": "000092110",
"state": "MT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.