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).
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 |
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 |
Address | Telephone Number | Fax Number |
---|---|---|
910 S Central Ave, Medford, OR 975017822 | 5416181380 | 5416181385 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821045683 | Peter S Millard | Family Medicine | 53 Schoodic Dr, Belfast, ME 04915-7246 | 2006-05-27 |
Street Address |
910 S CENTRAL AVE |
City | MEDFORD |
State | OR |
Zip Code | 97501-7822 |
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 |
Find all providers in the same location |
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 |
Find all providers in zip 97501 |
Taxonomy Code | 363LP0808X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Psych/Mental Health |
Definition to come... |
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 |
Find all providers in MEDFORD |
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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.