MR. MICHAEL MATTHEW MILAM (NPI# 1548250954) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548250954 |
| Entity Type | Individual |
| Full Name | MR. MICHAEL MATTHEW MILAM |
| Credential | P.A.C. |
| Practice Address |
140 W Main St Suite 100 Springfield OH 45502-1312 |
| Practice Telephone | 9373981066 |
| Practice Fax Number | 9373981076 |
| Mailing Telephone | 9373981066 |
| Mailing Fax Number | 9373981076 |
| Enumeration Date | 2005-10-26 |
| Last Update Date | 2015-04-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA60150118 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
50-00-2337 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | WELLCARE | 415536 | 01 |
| WA | L&I AND CRIME VICTIMS | 0264600 | 01 |
| WA | 1548250954 | 05 | |
| OH | RAILROAD MEDICARE | P00726959 | 01 |
| OH | ANTHEM | 000000377375 | 01 |
| WA | REGENCE | 0283MI | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306040852 | Michael R Milam | Obstetrics & Gynecology | 300 20th Ave N, Suite 602, Nashville, TN 37203-2131 | 2007-06-11 |
| 1982701421 | Michael W Milam | Internal Medicine | 1425 S Osprey Ave, Ste 1, Sarasota, FL 34239-2900 | 2006-09-19 |
| 1588692891 | Michael G. Milam | Internal Medicine | 2011 Tate Springs Rd, Lynchburg, VA 24501-1111 | 2006-06-28 |
| Street Address |
140 W MAIN ST SUITE 100 |
| City | SPRINGFIELD |
| State | OH |
| Zip Code | 45502-1312 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851912109 | Ohio Valley Medical Center, LLC | Clinical Medical Laboratory | 140 W Main St, Springfield, OH 45502-1368 | 2020-04-28 |
| 1780133025 | Logan Blair | Specialist/Technologist | 140 W Main St, Springfield, OH 45502-1368 | 2016-09-28 |
| 1427441534 | Danielle Workman | Specialist/Technologist | 140 W Main St, Springfield, OH 45502-1312 | 2015-03-13 |
| 1629477369 | Jenna Zumberger | Occupational Therapist | 140 W Main St, Springfield, OH 45502-1312 | 2014-08-19 |
| 1760820708 | Matthew Pigott | Orthopaedic Surgery | 140 W Main St, Springfield, OH 45502 | 2013-06-12 |
| 1053408591 | Travis B Wilson | Physician Assistant | 140 W Main St, Suite 100, Springfield, OH 45502-1312 | 2006-10-06 |
| 1982626982 | Springfield Orthopaedic and Sports Medicine Institute LLC | Orthopaedic Surgery | 140 W Main St, Suite 100, Springfield, OH 45502-1312 | 2006-07-25 |
| 1295778546 | David B. Galluch | Orthopaedic Surgery | 140 W Main St, Suite 100, Springfield, OH 45502-1312 | 2006-06-14 |
| 1619928371 | Ian Martin Thompson | Orthopaedic Surgery | 140 W Main St, Suite 100, Springfield, OH 45502-1312 | 2006-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093232449 | Jennifer Susanne Mitchell Denney | Registered Nurse | 3710 Snyder Domer, Springfield, OH 45502 | 2017-08-26 |
| 1649512138 | Kathleen J Oxner | Internal Medicine | 2100 Emmanuel Way Ste B, Springfield, OH 45502 | 2013-03-22 |
| 1255667648 | Stacey Lynn Harpest | Licensed Practical Nurse | 2960 Dayton Springfield Road, Springfield, OH 45502 | 2009-10-20 |
| 1477714475 | Christian A Victor | Dentist | 1980 Kingsgate Rd., Suite A, Springfield, OH 45502 | 2008-06-23 |
| 1508916743 | Helen Louise Chapman | Home Health Aide | 7610 Troy Rd, Springfield, OH 45502 | 2007-01-11 |
| 1891845160 | Clark Dental Care Inc | Dentist | 1980 A Kings Gate Rd, Suite A, Springfield, OH 45502 | 2007-01-11 |
| 1144387820 | Philip Joseph Gibeau | Psychologist | 20 South Limestone St Ste 340, Springfield, OH 45502 | 2007-01-02 |
| 1730707480 | Jeffrey Blaine Randall | Counselor | 4867 Urbana Rd, Springfield, OH 45502 | 2020-07-09 |
| 1013573989 | Dion Stevens | Peer Specialist | 4867 Urbana Rd, Springfield, OH 45502 | 2019-05-15 |
| 1538304050 | Ohio Valley Medical Center, LLC | General Acute Care Hospital | 100 W. Main Street, Springfield, OH 45502 | 2008-12-12 |
| Find all providers in zip 45502 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629592225 | Justin William Starling | Physician Assistant | 1515 Keys Ave, Springfield, IL 62702-2933 | 2017-07-26 |
| 1710435011 | Alexander Andersen | Physician Assistant | 445 Harlow Rd Ste 200, Springfield, OR 97477-1341 | 2016-09-14 |
| 1932538980 | Emily Baecher | Physician Assistant | 2 Medical Cetner Dr, Suite 205, Springfield, MA 01199-1619 | 2013-11-09 |
| 1699114421 | Lauren M Kendall | Physician Assistant | 960 N 16th St Ste 108, Springfield, OR 97477-4175 | 2013-06-14 |
| 1750660148 | Daniel Francis Reilly Jr. | Physician Assistant | 2 Medical Center Dr Ste 308, Springfield, MA 01107-1271 | 2011-08-16 |
| 1831499383 | Christin Wolak | Physician Assistant | 300 Birnie Ave Ste 201, Springfield, MA 01107-1121 | 2010-11-01 |
| 1811200710 | Jessica Anne White | Physician Assistant | 25 Ridgewood Rd., Esne, Springfield, VT 05156 | 2010-07-20 |
| 1043540669 | Kristen Dawn Dodd | Physician Assistant | 960 N 16th St Ste 207, Springfield, OR 97477-4175 | 2010-01-04 |
| 1831337765 | Cynthia R. Krinochkin | Physician Assistant | 3801 S. National, 5th Floor, Springfield, MO 65807-5210 | 2009-01-30 |
| 1578746079 | Jamie Moore | Physician Assistant | 2 Medical Center Drive Suite 503, Springfield, MA 01199-0001 | 2007-12-07 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 45502 |
Please comment or provide details below to improve the information on MR. MICHAEL MATTHEW MILAM.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.