DONALD ERIC MILMORE


Address: 120 Walnut Street, Fayetteville, NY 13066-2028
Phone: 3156374601

DONALD ERIC MILMORE (NPI# 1184727711) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1184727711
Entity Type Individual
Full Name DONALD ERIC MILMORE
Credential MD
Practice Address 120 Walnut Street
Fayetteville
NY 13066-2028
Practice Telephone 3156374601
Practice Fax Number 3156378927
Mailing Telephone 3156374601
Mailing Fax Number 3156378927
Enumeration Date 2006-09-07
Last Update Date 2008-05-12
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208D00000X General Practice 128413 NY Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NY 00376132 05

Office Location

Street Address 120 WALNUT STREET
City FAYETTEVILLE
State NY
Zip Code 13066-2028

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1013375328 Kristin Kukenberger Chiropractor 7000 E Genesee St Bldg B, Fayetteville, NY 13066 2016-02-01
1124394671 Susan Hartman Brenizer Marriage & Family Therapist 7000 E Genesee St Lyndon Office Park, Bldg. A, Second Floor (upper Level), Fayetteville, NY 13066 2012-03-29
1245541432 Rene L Converse Occupational Therapist 7200 E. Genesee Street, Fayetteville, NY 13066 2010-06-23
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1063677458 John Marcena Glezen Obstetrics & Gynecology 1 The Gazebo, Fayetteville, NY 13066 2008-07-24
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Taxonomy Information

Taxonomy Code 208D00000X
Grouping Allopathic & Osteopathic Physicians
Classification General Practice

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1700297033 Washington Regional Medical System General Practice 3 E. Appleby Road, Suite 101, Fayetteville, AR 72703 2014-05-08
1053754622 Hessel Kooistra IIi General Practice 10971 Rocky Creek Rd, Fayetteville, AR 72701-0614 2013-04-12
1861636607 John James Sacco General Practice 5018 Worthington Way, Fayetteville, NY 13066-8703 2009-04-23
1093877441 Michael R Ressal General Practice 3415 C1 Melrose Road, Fayetteville, NC 28304-1608 2006-12-14
1710993654 Scott David Fedosky General Practice 2603 Main Dr, Suite # 6, Fayetteville, AR 72704-5278 2006-07-31
1356377741 Linda M Ekman General Practice 117 E Sycamore St, Fayetteville, AR 72703-2540 2006-06-25
1902832660 Janet Lynn Titus General Practice 63 W Sunbridge Dr, Fayetteville, AR 72703-1825 2006-06-24
1720020712 Diane Elizabeth Ashby General Practice 207 W Maple Ave, Fayetteville, WV 25840-1413 2006-06-12
1427008093 Medical Associates of Northwest Arkansas Pa General Practice 1188 N Salem Rd Ste 6, Fayetteville, AR 72704-8803 2006-05-12
1164472908 Johnny P Adkins General Practice 3053 N College Avenue, Fayetteville, AR 72703 2006-05-11
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Competitor

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City FAYETTEVILLE
Zip Code 13066

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Dataset Information

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.

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