Active NPI
Earl Clarence Mills, M.D.
- Neurological Surgery Physician
- Lima, OH
National Provider Identifier
1861434276
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- 35087909
- Practice address
- 770 W High St
Ste 220
Lima, OH 45801-5910 - Phone
- (419) 221-3385
- Fax
- (419) 221-3585
- NPI assigned
- Jun 11, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | 35087909 | OH | Primary |
Addresses
Primary practice location
770 W High St
Ste 220
Lima, OH 45801-5910
Mailing address
770 W High St
Ste 220
Lima, OH 45801-5910
Phone (419) 221-3385
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 06322 | Other | OH | PARAMOUNT ADVANTAGE |
| 000000488922 | Other | OH | ANTHEM BLUE CROSS & BLUE |
| 2658842 | Medicaid | OH | |
| 738777 | Other | OH | BUCKEYE COMMUNITY |
| P00331612 | Other | OH | RAILROAD MEDICARE |
| 7222167 | Other | OH | AETNA |
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 |
|---|---|---|---|
| 35087909 | OH | MD | Neurological Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lima Memorial Joint Operating Company | 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 and National Provider Directory roles.
-
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149984000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1194566400000",
"number": "1861434276",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "770 W HIGH ST",
"address_2": "STE 220",
"city": "LIMA",
"state": "OH",
"postal_code": "458015910",
"telephone_number": "419-221-3385",
"fax_number": "419-221-3585"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "770 W HIGH ST",
"address_2": "STE 220",
"city": "LIMA",
"state": "OH",
"postal_code": "458015910",
"telephone_number": "419-221-3385",
"fax_number": "419-221-3585"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLS",
"first_name": "EARL",
"middle_name": "CLARENCE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-11",
"last_updated": "2007-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "OH",
"license": "35087909",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PARAMOUNT ADVANTAGE",
"identifier": "06322",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BLUE CROSS & BLUE",
"identifier": "000000488922",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2658842",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BUCKEYE COMMUNITY",
"identifier": "738777",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00331612",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7222167",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lima, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.