Michael Colin Milliken (NPI# 1629275037, PAC ID# 1355481110) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
| Nation Provider ID (NPI) | 1629275037 |
| PAC ID by PECOS | 1355481110 |
| Professional Enrollment ID | I20150127001802 |
| Full Name | Michael Colin Milliken |
| Organization Legal Name | U-U DERMATOLOGY DIVISION SCHOOL OF MEDICINE |
| Address |
6095 S Fashion Blvd Murray UT 84107-7397 |
| Phone Number | 8015876340 |
| Gender | M |
| Medical School | UNIVERSITY OF VIRGINIA SCHOOL OF MEDICINE |
| Graduation Year | 2007 |
| Primary Specialty | DERMATOLOGY |
| Group Practice PAC ID | 9638073497 |
| Number of Group Practice Members | 54 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 460009 | UNIVERSITY OF UTAH HOSPITALS AND CLINICS |
| Address | Phone | Organization |
|---|---|---|
| 6095 S Fashion Blvd, Murray, UT 84107-7397 | 8015876340 | U-U DERMATOLOGY DIVISION SCHOOL OF MEDICINE |
| Organization Legal Name | U-U DERMATOLOGY DIVISION SCHOOL OF MEDICINE |
| Physicians | 49 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Adrienne Mcmaster | Physician Assistant | U-u Dermatology Division School of Medicine | 50 N Medical Dr, Salt Lake City, UT 84130-1100 |
| Aaron Secrest | Dermatology | U-u Dermatology Division School of Medicine | 50 N Medical Dr, Salt Lake City, UT 84130-1100 |
| Eric Millican | Dermatology | U-u Dermatology Division School of Medicine | 50 N Medical Dr, Salt Lake City, UT 84130-1100 |
| Douglas L Powell | Dermatology | U-u Dermatology Division School of Medicine | 50 N Medical Dr, Salt Lake City, UT 84130-1100 |
| Jamie L Rhoads | Dermatology | U-u Dermatology Division School of Medicine | 50 N Medical Dr, Salt Lake City, UT 84130-1100 |
| Christopher B Hansen | Dermatology | U-u Dermatology Division School of Medicine | 50 N Medical Dr, Salt Lake City, UT 84130-1100 |
| Douglas Grossman | Dermatology | U-u Dermatology Division School of Medicine | 50 N Medical Dr, Salt Lake City, UT 84130-1100 |
| Stephanie Klein | Dermatology | U-u Dermatology Division School of Medicine | 50 N Medical Dr, Salt Lake City, UT 84130-1100 |
| Luke S Johnson | Dermatology | U-u Dermatology Division School of Medicine | 50 N Medical Dr, Salt Lake City, UT 84130-1100 |
| Steven Wolf | Physician Assistant | U-u Dermatology Division School of Medicine | 50 N Medical Dr, Salt Lake City, UT 84130-1100 |
| Street Address |
6095 S FASHION BLVD |
| City | MURRAY |
| State | UT |
| Zip | 84107-7397 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Andrew M Smith | Allergy/immunology | 6095 S Fashion Blvd, Suite 100, Murray, UT 84107-7377 | |
| Erika Mae Summers | Dermatology | U-u Dermatology Division School of Medicine | 6095 S Fashion Blvd, Murray, UT 84107-7397 |
| Stuart Ian Anderson | Optometry | 6095 S Fashion Blvd, Suite 110, Murray, UT 84107-7382 | |
| Alice Frigerio | Dermatology | U-u Dermatology Division School of Medicine | 6095 S Fashion Blvd, Murray, UT 84107-7397 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Randy B Carter | Optometry | Eye Institute of Utah Inc | 755 E 3900, Salt Lake City, UT 84107-2105 |
| Darcy H Wolsey | Ophthalmology | Eye Institute of Utah Inc | 755 E 3900, Salt Lake City, UT 84107-2105 |
| Zachary J Zavodni | Ophthalmology | Eye Institute of Utah Inc | 755 E 3900, Salt Lake City, UT 84107-2105 |
| Robert J Cionni | Ophthalmology | Eye Institute of Utah Inc | 755 E 3900, Salt Lake City, UT 84107-2105 |
| Kristin O Chapman | Ophthalmology | Eye Institute of Utah Inc | 755 E 3900, Salt Lake City, UT 84107-2105 |
| Robert J Matejka | Anesthesiology | Eye Institute of Utah Inc | 755 E 3900, Salt Lake City, UT 84107-2105 |
| Bruce F Gladwell | Certified Registered Nurse Anesthetist (crna) | Eye Institute of Utah Inc | 755 E 3900, Salt Lake City, UT 84107-2105 |
| Laura J Springhetti | Certified Registered Nurse Anesthetist (crna) | Eye Institute of Utah Inc | 755 E 3900, Salt Lake City, UT 84107-2105 |
| Sally J Brush | Nurse Practitioner | 888 E 3900, Salt Lake City, UT 84107-2151 | |
| Alireza Falahati-nini | Endocrinology | Utah Endocrinology Associates Pllc | 470 E 3900, Suite 200, Salt Lake City, UT 84107-2332 |
| Find all physicians in zip 84107 | |||
| City | MURRAY |
| Zip Code | 84107 |
| Specialty | DERMATOLOGY |
| City + Specialty | MURRAY + DERMATOLOGY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.