MICHAEL A MILLIS (NPI# 1659324739) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659324739 |
| Entity Type | Individual |
| Full Name | MICHAEL A MILLIS |
| Credential | P.A.-C |
| Practice Address |
808 Woodrow Wilson Ray Cir Bridgeport TX 76426-2061 |
| Practice Telephone | 9406832297 |
| Practice Fax Number | 9406832984 |
| Mailing Telephone | 9406832297 |
| Mailing Fax Number | 9406832984 |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA01542 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538659990 | Michael Andrew Millis | Student in an Organized Health Care Education/Training Program | 1500 E. Medical Center Drive, 2920 Tc, Ann Arbor, MI 48109-5331 | 2018-05-11 |
| 1528096047 | Michael B Millis | Orthopaedic Surgery | 300 Longwood Ave, Boston, MA 02115-5724 | 2006-06-30 |
| Street Address |
808 WOODROW WILSON RAY CIR |
| City | BRIDGEPORT |
| State | TX |
| Zip Code | 76426-2061 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720062698 | David A. Ray | Family Medicine | 808 Woodrow Wilson Ray Cir, Bridgeport, TX 76426-2061 | 2005-12-02 |
| 1982212841 | Alexander Lee Pendergrass | Nurse Practitioner | 808 Woodrow Wilson Ray Cir, Bridgeport, TX 76426-2061 | 2020-07-16 |
| 1144731464 | Heart Health Clinic Pllc | Internal Medicine | 808 Woodrow Wilson Ray Cir, Bridgeport, TX 76426-2061 | 2017-10-13 |
| 1225449119 | Denise M. Casper, D.o., P.a. | Family Medicine | 808 Woodrow Wilson Ray Cir, Bridgeport, TX 76426-2061 | 2014-05-13 |
| 1083748800 | David A Ray Do Pa | Family Medicine | 808 Woodrow Wilson Ray Cir, Bridgeport, TX 76426-2061 | 2007-03-15 |
| 1649304486 | Jon W Copeland Do Pa | Family Medicine | 808 Woodrow Wilson Ray Cir, Bridgeport, TX 76426-2061 | 2007-03-15 |
| 1417081142 | David A Ray D O P A | Family Medicine | 808 Woodrow Wilson Ray Cir, Bridgeport, TX 76426-2061 | 2007-03-15 |
| 1265484968 | Jon Wayne Copeland | Family Medicine | 808 Woodrow Wilson Ray Cir, Bridgeport, TX 76426-2061 | 2006-05-17 |
| 1871544486 | Russell J Tanner | Physician Assistant | 808 Woodrow Wilson Ray Cir, Bridgeport, TX 76426-2061 | 2006-05-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790169613 | Victor Esmeraldo | Dentist | 1808 Chico Hwy, Bridgeport, TX 76426 | 2015-07-10 |
| 1376941013 | K&h Dental Pa | Clinic/Center | 1808 Chico Highway, Bridgeport, TX 76426 | 2014-12-11 |
| 1710252572 | Jonathon Stanley Scarborough | Nurse Anesthetist, Certified Registered | 1509 Dr. Hospital Drive, Bridgeport, TX 76426 | 2012-03-13 |
| 1124153010 | Christopher Aaron Hicks | Physical Therapist | 707 Woodrow Wilson Ray Cir, Bridgeport, TX 76426 | 2007-02-22 |
| 1578636411 | 34hha, Inc | Home Health | 401 Center Ct., Bridgeport, TX 76426 | 2006-11-16 |
| 1295777902 | West 380 Nursing Center | Assisted Living Facility | 2108 15th St, Bridgeport, TX 76426 | 2006-06-10 |
| 1780810234 | Scc Partners Inc | Skilled Nursing Facility | 2108 15th St, Bridgeport, TX 76426 | 2009-06-10 |
| 1477175628 | Noemi Araceli Meza | Non-emergency Medical Transport (VAN) | 1006 Newby Ave, Bridgeport, TX 76426-2030 | 2020-05-11 |
| 1992013692 | Bridgeport Isd | Local Education Agency (LEA) | 2107 15th St, Bridgeport, TX 76426-2052 | 2010-09-16 |
| 1952853194 | City of Ennis | Skilled Nursing Facility | 2108 15th St, Bridgeport, TX 76426-2055 | 2016-11-03 |
| Find all providers in zip 76426 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578024105 | Vance P Baughman | Physician Assistant | 325 Lafayette St Unit 1003, Bridgeport, CT 06604-5472 | 2019-03-27 |
| 1780178285 | Christina P. Filippakis | Physician Assistant | 401 Myrtle Ave, Bridgeport, CT 06604-5444 | 2018-06-18 |
| 1720134372 | Tommy Savedra | Physician Assistant | 221 Twin Lakes Rd, Bridgeport, CA 93517 | 2007-01-26 |
| 1235284886 | Patricia Lynn Ross | Physician Assistant | 104 Orchard Ave, Bridgeport, WV 26330-1736 | 2007-01-24 |
| 1609890789 | Kaufmann Leslie Kaufmann | Physician Assistant | 1 Lee Ann Ln, Bridgeport, WV 26330-1080 | 2006-07-26 |
| 1407477334 | Emily Nicole Jimenez | Physician Assistant | 267 Grant St, Bridgeport, CT 06610-2805 | 2020-05-01 |
| 1629608278 | Ethan Ramsey | Physician Assistant | 327 Medical Park Dr, Bridgeport, WV 26330-9006 | 2020-01-23 |
| 1336780709 | Christy Distasio | Physician Assistant | 267 Grant St, Bridgeport, CT 06610-2805 | 2019-10-07 |
| 1639616063 | Alison Robb | Physician Assistant | 267 Grant St, Bridgeport, CT 06610-2805 | 2017-01-24 |
| 1992155873 | Sabrina Butler | Physician Assistant | 267 Grant St, Bridgeport, CT 06610-2805 | 2016-06-21 |
| Find all providers in BRIDGEPORT | ||||
| City | BRIDGEPORT |
| Zip Code | 76426 |
Please comment or provide details below to improve the information on MICHAEL A MILLIS.
| 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.