Active NPI
Ernesto J. Millan MD. PA.
- Neurology with Special Qualifications in Child Neurology Physician
- Tampa, FL
National Provider Identifier
1851638167
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology with Special Qualifications in Child Neurology Physician
- Legal business name
- ERNESTO J. MILLAN MD. PA.
- Practice address
- 5110 N. Habana Ave. Suite #1
Tampa, FL 33614-6873 - Phone
- (813) 448-6755
- NPI assigned
- Jan 7, 2013
- 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. Ernesto Jose Millan, M.D.
- Title
- Owner
- Phone
- (813) 448-6755
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology with Special Qualifications in Child Neurology Physician | 2084N0402X | Primary |
Addresses
Primary practice location
5110 N. Habana Ave. Suite #1
Tampa, FL 33614-6873
Mailing address
5110 N. Habana Ave. Suite #1
Tampa, FL 33614-6873
Phone (813) 448-6755
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 25846200 | Medicaid | FL |
National Provider Directory
National Provider DirectoryLocations
5110 N Habana Ave
Ste 1
Tampa, FL 33614
Phone (813) 448-6755
Interoperability endpoints
- https://api.platform.athenahealth.com/26223/brand/1/csg/1/fhir/r4
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Neurology with Special Qualifications in Child Neurology Physician
- Tampa, FL
- NPI 1083735856
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1357516800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1617840000000",
"number": "1851638167",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5110 N. HABANA AVE. SUITE #1",
"city": "TAMPA",
"state": "FL",
"postal_code": "336146873",
"telephone_number": "813-448-6755"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5110 N. HABANA AVE. SUITE #1",
"city": "TAMPA",
"state": "FL",
"postal_code": "336146873",
"telephone_number": "813-448-6755"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ERNESTO J. MILLAN MD. PA.",
"organizational_subpart": "NO",
"enumeration_date": "2013-01-07",
"last_updated": "2021-04-08",
"certification_date": "2021-04-08",
"status": "A",
"authorized_official_last_name": "MILLAN",
"authorized_official_first_name": "ERNESTO",
"authorized_official_middle_name": "JOSE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "813-448-6755",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "2084N0402X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "25846200",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 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.