Active NPI
James Michael Mills
- Surgical Physician Assistant
- Martinsburg, WV
National Provider Identifier
1922297951
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- Practice address
- 1008 Tavern Rd
Ste 102
Martinsburg, WV 25401-2801 - Phone
- (304) 263-5129
- NPI assigned
- Oct 16, 2007
- 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 |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | Primary |
Addresses
Primary practice location
1008 Tavern Rd
Ste 102
Martinsburg, WV 25401-2801
Mailing address
1008 Tavern Rd
Ste 102
Martinsburg, WV 25401-2801
Phone (304) 263-5129
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 363AS0400X | Other | WV | TAXONOMY |
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1192492800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1192492800000",
"number": "1922297951",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1008 TAVERN RD",
"address_2": "STE 102",
"city": "MARTINSBURG",
"state": "WV",
"postal_code": "254012801",
"telephone_number": "304-263-5129"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1008 TAVERN RD",
"address_2": "STE 102",
"city": "MARTINSBURG",
"state": "WV",
"postal_code": "254012801",
"telephone_number": "304-263-5129"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLS",
"first_name": "JAMES",
"middle_name": "MICHAEL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-10-16",
"last_updated": "2007-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAXONOMY",
"identifier": "363AS0400X",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}Other providers in Martinsburg, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 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.