Organization Active NPI

Milliken Medical PLLC

  • Internal Medicine Physician
  • Traverse City, MI
National Provider Identifier
1992702567
Registry record updated Nov 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
OM85930 Issued in MI
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

Updated by the provider on Nov 12, 2009

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)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
0B81016OtherMIBCBS

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.