Active NPI
Timothy P Millea, M.D.
- Orthopaedic Surgery of the Spine Physician
- Bettendorf, IA
National Provider Identifier
1942288139
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery of the Spine Physician
- License
- 28751
- Practice address
- 2300 53Rd Ave
Suite 100
Bettendorf, IA 52722-7564 - Phone
- (563) 322-0971
- Fax
- (563) 324-0615
- NPI assigned
- Jan 6, 2006
- Last updated
- Mar 18, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery of the Spine Physician | 207XS0117X | 28751 | IA | Primary |
| Orthopaedic Surgery of the Spine Physician | 207XS0117X | 036075860 | IL |
Addresses
Primary practice location
2300 53Rd Ave
Suite 100
Bettendorf, IA 52722-7564
Mailing address
2300 53Rd Ave
Suite 100
Bettendorf, IA 52722-7564
Phone (563) 322-0971
Other identifiers 11
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 041993 | Other | HEALTH ALLIANCE | |
| T80827 | Other | IA | JOHN DEERE FAMILY |
| 1602944 | Other | FIRST HEALTH | |
| 57863 | Other | IA | WELLMARK |
| 58096 | Other | IA | WELLMARK |
| 8121085 | Other | IL | BCBS |
| 0084335 | Medicaid | IA | |
| 15561 | Other | MIDLANDS CHOICE | |
| 19769 | Other | IA HEALTH SOLUTIONS | |
| IA0144 | Other | IA | JOHN DEERE FAMILY |
| 200029104 | Other | RR MEDICARE |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ora Orthopedics, PC | Past | Accepting new patients |
Interoperability endpoints
- tmillea@ora2099.srs-direct.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Orthopaedic Surgery Physician
- Durant, IA
- NPI 1639159700
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136505600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1300406400000",
"number": "1942288139",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2300 53RD AVE",
"address_2": "SUITE 100",
"city": "BETTENDORF",
"state": "IA",
"postal_code": "527227564",
"telephone_number": "563-322-0971",
"fax_number": "563-324-0615"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2300 53RD AVE",
"address_2": "SUITE 100",
"city": "BETTENDORF",
"state": "IA",
"postal_code": "527227564",
"telephone_number": "563-322-0971",
"fax_number": "563-324-0615"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLEA",
"first_name": "TIMOTHY",
"middle_name": "P",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-06",
"last_updated": "2011-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "207XS0117X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
"state": "IA",
"license": "28751",
"primary": true
},
{
"code": "207XS0117X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
"state": "IL",
"license": "036075860",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH ALLIANCE",
"identifier": "041993",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "JOHN DEERE FAMILY",
"identifier": "T80827",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST HEALTH",
"identifier": "1602944",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLMARK",
"identifier": "57863",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLMARK",
"identifier": "58096",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "8121085",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0084335",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MIDLANDS CHOICE",
"identifier": "15561",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IA HEALTH SOLUTIONS",
"identifier": "19769",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "JOHN DEERE FAMILY",
"identifier": "IA0144",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "200029104",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bettendorf, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.