Active NPI
Milliken Medical PLLC
- Internal Medicine Physician
- Traverse City, MI
National Provider Identifier
1992702567
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- OM85930
- Legal business name
- MILLIKEN MEDICAL PLLC
- Practice address
- 224 Circle Dr
Traverse City, MI 49684-2342 - Phone
- (231) 935-0600
- Fax
- (231) 935-0613
- NPI assigned
- Jun 28, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sarah R Seaver, DO
- Title
- President
- Phone
- (231) 932-4880
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | OM85930 | MI | Primary |
Addresses
Primary practice location
224 Circle Dr
Traverse City, MI 49684-2342
Mailing address
224 Circle Dr
Traverse City, MI 49684-2342
Phone (231) 935-0600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0B81016 | Other | MI | BCBS |
National Provider Directory
National Provider DirectoryLocations
311 Long Rapids Plz
Alpena, MI 49707
Phone (517) 354-5717
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119916800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1257984000000",
"number": "1992702567",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "224 CIRCLE DR",
"city": "TRAVERSE CITY",
"state": "MI",
"postal_code": "496842342",
"telephone_number": "231-935-0600",
"fax_number": "231-935-0613"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "224 CIRCLE DR",
"city": "TRAVERSE CITY",
"state": "MI",
"postal_code": "496842342",
"telephone_number": "231-935-0600",
"fax_number": "231-935-0613"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MILLIKEN MEDICAL PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2005-06-28",
"last_updated": "2009-11-12",
"status": "A",
"authorized_official_last_name": "SEAVER",
"authorized_official_first_name": "SARAH",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "231-932-4880",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "MI",
"license": "OM85930",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "0B81016",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Traverse City, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.