Evelyn Moore Mills, D.O.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

18169-875 Issued in WI

Practice address

900 Illinois Ave
Stevens Point, WI 54481-3114

Phone

(715) 346-5000

NPI assigned

Jul 10, 2006

Last updated

Mar 17, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Other identifiers 3

Other names 1

• Evelyn B Mills Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

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.

• Chenango Memorial Hospital, Inc.

  • Family Medicine Physician
  • Norwich, NY
  • NPI 1467526889

  Emergency Medicine

  NPD (past)
• Fort Edward Rescue Squad Inc

  • Ambulance
  • Fort Edward, NY
  • NPI 1427031319
  NPD (past)
• KHH Emergency Medicine

  • Emergency Medicine Physician
  • Brooklyn, NY
  • NPI 1740330455
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1881628550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 ILLINOIS AVE",
            "city": "STEVENS POINT",
            "state": "WI",
            "postal_code": "544813114",
            "telephone_number": "715-346-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 ILLINOIS AVE",
            "city": "STEVENS POINT",
            "state": "WI",
            "postal_code": "544813114",
            "telephone_number": "715-346-5000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "190 Schofield St",
            "address_2": "Apt 3A",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104641562",
            "country_code": "US",
            "telephone_number": "917-574-6191",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "190 Schofield St",
            "address_2": "Apt 3A",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104641562",
            "country_code": "US",
            "telephone_number": "917-574-6191",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLS",
        "first_name": "EVELYN",
        "middle_name": "MOORE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-10",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IL",
            "license": "036.142223",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "240152",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WI",
            "license": "18169-875",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02779697",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS NY EXCELLUS",
            "identifier": "1881628550",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "204491209",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EVELYN",
            "last_name": "MILLS",
            "middle_name": "B",
            "credential": "DO",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Mfafevllc
• Midstate Independent Living Choices, Inc
• Mary Ann Mikus, D.O.
• Emily Miller, ATS, LMT
• Robert A. Miller, LPC, MA
• Mind Team, LLC
• Ministry Home Care Services, LLC (Ministry Home Care Plus)
• Alison Kay Mlodik, DDS
• Modern Dental Center Stevens Point LLC
• Wendy M Mongin, PT

• Emergency Medicine Physician in Stevens Point, WI
• Providers in Stevens Point, WI by specialty
• Emergency Medicine Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.