PETER MICHAEL MILLARD


Address: 910 S Central Ave, Medford, OR 97501-7822
Phone: 5416181380

PETER MICHAEL MILLARD (NPI# 1366892598) 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) 1366892598
Entity Type Individual
Full Name PETER MICHAEL MILLARD
Credential CNP
Practice Address 910 S Central Ave
Medford
OR 97501-7822
Mailing Address 931 Chevy Way
Medford
OR 97504-4127
Practice Telephone 5416181380
Practice Fax Number 5416181385
Mailing Telephone 5416903555
Enumeration Date 2016-06-19
Last Update Date 2020-01-20
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
RN2273171 MA Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
910 S Central Ave, Medford, OR 975017822 5416181380 5416181385

Other Providers PETER MILLARD

NPI Name Taxonomy Address Enumeration
1821045683 Peter S Millard Family Medicine 53 Schoodic Dr, Belfast, ME 04915-7246 2006-05-27

Office Location

Street Address 910 S CENTRAL AVE
City MEDFORD
State OR
Zip Code 97501-7822

Providers in the same location

NPI Name Taxonomy Address Enumeration
1215127519 Hillary Lynn Handelsman Nurse Practitioner 910 S Central Ave, Medford, OR 97501-7822 2007-08-01
1215568704 Erica Davoren Registered Nurse 910 S Central Ave, Medford, OR 97501-7822 2020-02-03
1245860048 La Clinica Del Valle Family Healthcare Center Inc. Internal Medicine 910 S Central Ave, Medford, OR 97501-7822 2020-01-21
1598309387 Kelly Eileen Church Registered Nurse 910 S Central Ave, Medford, OR 97501-7822 2019-11-05
1184114696 Judith Mackey Nurse Practitioner 910 S Central Ave, Medford, OR 97501-7822 2018-05-10
1346695236 Nathaniel Fondell Family Medicine 910 S Central Ave, Medford, OR 97501-7822 2016-04-27
1821488875 Dora Hebe Best Counselor 910 S Central Ave, Medford, OR 97501-7822 2015-01-29
1417372731 La Clinica Del Valle Family Health Care Center Inc Clinic/Center 910 S Central Ave, Medford, OR 97501-7822 2014-02-24
1790108702 Julianne T Curl Nurse Practitioner 910 S Central Ave, Medford, OR 97501-7822 2014-01-27
1063737252 Laurel M Brown Physician Assistant 910 S Central Ave, Medford, OR 97501-7822 2010-03-31
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1366069494 Brian Snapp Counselor 1191 Hazel St, Medford, OR 97501 2020-07-06
1477174761 Corey Renfree Counselor 1191 Hazel Street, Medford, OR 97501 2020-04-28
1669012928 One of A Kind Therapy LLC Social Worker 916 West 10th St #205, Medford, OR 97501 2020-01-14
1265993620 Star Dialysis LLC Clinic/Center 50 Rossanley Dr, Medford, OR 97501 2019-03-28
1962972463 Karen Elise Roertgen Counselor 328 So. Central Ave., Suite 204, Medford, OR 97501 2018-11-28
1316458813 Rick's Medical Supply, Inc Durable Medical Equipment & Medical Supplies 562 Parsons Drive, Suite 114, Medford, OR 97501 2017-10-24
1750807111 La Clinica Del Valle Family Health Care Center Inc. Clinic/Center 821 N Riverside Ave, Medford, OR 97501 2017-08-17
1992229009 Cassandra Schultz Massage Therapist 824 East Jackson, Suite A, Medford, OR 97501 2017-07-31
1972962355 Robin Clevenger Peer Specialist 301 S Ivy St, Medford, OR 97501 2016-02-15
1154706984 Debbie Diane Orr Behavioral Analyst 1024 West 9th Street, Medford, OR 97501 2015-07-22
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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1073147716 Paradigm Mental Health and Wellness LLC Nurse Practitioner 724 S Central Ave Ste 101d, Medford, OR 97501-7808 2020-03-02
1952860066 Mcarthur, Gruff & Associates, LLC Dba Carmen Kosicek, Pmhnp Nurse Practitioner 1314b Center Dr Unit 439, Medford, OR 97501-7943 2019-03-18
1811246879 Deborra M. Torres, Msn, Pmhnp, LLC Nurse Practitioner 5 N Main St Ste A, Medford, NJ 08055-2439 2012-09-06
1518013705 Susan Wrona Nurse Practitioner 14 Cottage St, Medford, OR 97504-7332 2007-01-28
1558442061 Pamela Jean Rivera Nurse Practitioner 15 Crater Lake Ave, Medford, OR 97504-7444 2006-10-18
1164538096 Kevan Joyce Olson Nurse Practitioner 255 W Stewart Ave Ste 101, Medford, OR 97501-3600 2006-08-22
1851325252 Ruth E Koch Nurse Practitioner 31 Industrial Boulevard, Yaphank Center, Medford, NY 11763 2006-07-10
1174008536 Connie Diep Nurse Practitioner 26 City Hall Mall, Medford, MA 02155-4754 2018-10-01
1366927220 Helena Frances Turner Nurse Practitioner 900 E Main St, Medford, OR 97504-7136 2018-09-26
1265927974 Jatoopon Maldonado Nurse Practitioner 31 Scouting Blvd, Medford, NY 11763-2220 2018-06-25
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Competitor

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City MEDFORD
Zip Code 97501

Improve Information

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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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