Individual provider Active NPI

Justin Gerard Mills, M.D.

  • Radiation Oncology Physician
  • Columbus, OH
National Provider Identifier
1952306797
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
35-05-0604-M Issued in OH
Practice address
1440 Hawthorne Ave
Columbus, OH 43203-1665
Phone
(937) 789-3423
NPI assigned
Jun 17, 2005
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35050604 OH
Radiation Oncology Physician 2085R0001X 35-05-0604-M OH Primary

Addresses

Primary practice location

1440 Hawthorne Ave
Columbus, OH 43203-1665

Mailing address

PO Box 2026
Fairborn, OH 45324-8026
Phone (937) 751-7477

Other identifiers 1

IdentifierTypeStateIssuer
0558338MedicaidOH

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

OrganizationSpecialtyStatusNew patients
After Hours Internal Medicine Internal Medicine Past Accepting new patients
Seymour Indiana Pathologists, Inc Past Accepting new patients
Major Hospital Past Accepting new patients
Clinton Memorial Hospital of Wilmington Clinton County Ohio Past Accepting new patients
Justin Mills MD Inc Radiation Oncology PastSince Oct 25, 2004 Accepting new patients
Jackson County Schneck Memorial Hospital Past Accepting new patients
Dayton Oncology & Hematology, PA Radiation Oncology Past Accepting new patients

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1118966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1952306797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2026",
            "city": "FAIRBORN",
            "state": "OH",
            "postal_code": "453248026",
            "telephone_number": "937-751-7477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1440 HAWTHORNE AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432031665",
            "telephone_number": "937-789-3423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLS",
        "first_name": "JUSTIN",
        "middle_name": "GERARD",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-17",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35050604",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "OH",
            "license": "35-05-0604-M",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0558338",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.