Organization Active NPI

Ernesto J. Millan MD. PA.

  • Neurology with Special Qualifications in Child Neurology Physician
  • Tampa, FL
National Provider Identifier
1851638167
Registry record updated Apr 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology with Special Qualifications in Child Neurology PhysicianTaxonomy code 2084N0402X
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

Updated by the provider on Apr 8, 2021

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.NPI 1083735856
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)CodeLicenseStatePrimary
Neurology with Special Qualifications in Child Neurology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
25846200MedicaidFL

National Provider Directory

National Provider Directory

Locations

5110 N Habana Ave
Ste 1
Tampa, FL 33614
Phone (813) 448-6755

Interoperability endpoints

  • FHIR API: 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.

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.

Verify at the official NPI Registry.