NPIMap

Organization Active NPI

Dr Richard a Mills MD PC

  • Urology Physician
  • Midland, MI
National Provider Identifier
1952583288
Registry record updated Aug 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
Legal business name
DR RICHARD A MILLS MD PC
Practice address
4007 Orchard Dr
Suite 3009
Midland, MI 48640-6102
Phone
(989) 839-8881
Fax
(989) 839-0094
NPI assigned
Nov 28, 2007
Last updated
Aug 12, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2008

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

Authorized official

Name
Mrs. Kari Susan Lillo
Title
Insurance Biller
Phone
(989) 839-1000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X MI Primary

Addresses

Primary practice location

4007 Orchard Dr
Suite 3009
Midland, MI 48640-6102

Mailing address

4007 Orchard Dr
Suite 3009
Midland, MI 48640-6102
Phone (989) 839-8881

Other identifiers 2

IdentifierTypeStateIssuer
315904310MedicaidMI
340E611250OtherMIBCBS OF MI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1196208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218499200000",
    "number": "1952583288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4007 ORCHARD DR",
            "address_2": "SUITE 3009",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486406102",
            "telephone_number": "989-839-8881",
            "fax_number": "989-839-0094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4007 ORCHARD DR",
            "address_2": "SUITE 3009",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486406102",
            "telephone_number": "989-839-8881",
            "fax_number": "989-839-0094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR RICHARD A MILLS MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-28",
        "last_updated": "2008-08-12",
        "status": "A",
        "authorized_official_last_name": "LILLO",
        "authorized_official_first_name": "KARI",
        "authorized_official_middle_name": "SUSAN",
        "authorized_official_title_or_position": "INSURANCE BILLER",
        "authorized_official_telephone_number": "989-839-1000",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "315904310",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MI",
            "identifier": "340E611250",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Midland, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2008; 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.