DR. TYLER MCMILLAN (NPI# 1407202492) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407202492 |
| Entity Type | Individual |
| Full Name | DR. TYLER MCMILLAN |
| Credential | M.D. |
| Practice Address |
1 Cooper Plz # 222 Camden NJ 08103-1461 |
| Mailing Address |
1 Federal St # 200 Camden NJ 08103-1088 |
| Practice Telephone | 8563423150 |
| Mailing Telephone | 8563564924 |
| Enumeration Date | 2016-05-09 |
| Last Update Date | 2019-07-31 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 25MA10572000 | NJ | Allopathic & Osteopathic Physicians |
| Y | 208M00000X | Hospitalist | 25MA10572000 | NJ | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801148598 | Tyler Mcmillan | Student in an Organized Health Care Education/Training Program | 300 East Hospital Road, Fort Gordon, GA 30905 | 2012-10-05 |
| Street Address |
1 COOPER PLZ # 222 |
| City | CAMDEN |
| State | NJ |
| Zip Code | 08103-1461 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679100028 | Caitlin Mcmahon | Nurse Practitioner | 1 Cooper Plz # 222, Camden, NJ 08103-1461 | 2020-03-25 |
| 1730743600 | Philip Joseph Fizur | Psychologist | 1 Cooper Plz # 222, Camden, NJ 08103-1461 | 2019-04-26 |
| 1881115988 | Anisha Daxini | Internal Medicine | 1 Cooper Plz # 222, Camden, NJ 08103-1461 | 2017-06-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912516063 | Toni Marie Primas | Registered Nurse | Sheridan Pavilion, Three Cooper Plaza Suite 220, Camden, NJ 08103 | 2020-07-24 |
| 1376028548 | Services To Overcome Drug Abuse Among Teenagers, Inc. | Clinic/Center | 805-815 Federal Street, Camden, NJ 08103 | 2018-10-03 |
| 1942795802 | Kyle Richard Marden | Student in an Organized Health Care Education/Training Program | 401 Haddon Avenue, 2nd Floor Room 266, Camden, NJ 08103 | 2018-06-24 |
| 1588157473 | Julio Antonio Rodriguez Jr. | Student in an Organized Health Care Education/Training Program | Cooper University Hospital, 3 Cooper Plaza Suite 408, Camden, NJ 08103 | 2018-06-14 |
| 1386149748 | Shuchi Gupta | Nurse Practitioner | 519 West Street, Camden, NJ 08103 | 2018-03-28 |
| 1326541491 | Bolanle Idowu-akangbe | Nurse Practitioner | 519-525 West Street, Camden, NJ 08103 | 2018-03-14 |
| 1740709500 | New Beginnings Behavioral Health | Clinic/Center | 1300 Princess Avenue, Camden, NJ 08103 | 2017-09-13 |
| 1760905012 | Loraine Morris | Counselor | 1479 Kaighn Ave, Camden, NJ 08103 | 2017-07-19 |
| 1386164333 | Matthew Share | Genetic Counselor, MS | Two Cooper Plaza, 400 Haddon Avenue, Md Anderson Cancer Center, Camden, NJ 08103 | 2017-06-21 |
| 1568902070 | Cooper University Hospital | General Acute Care Hospital | 1 Cooper Plaza, Dorrance 222, Camden, NJ 08103 | 2017-03-02 |
| Find all providers in zip 08103 | ||||
| Taxonomy Code | 208M00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Hospitalist |
| Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients. |
| Notes: Source: American Society of Hospital Medicine, 2007. http://www.hospitalmedicine.org/ [7/1/2009: definition aded] Additional Resources: Hospitalist is a recognized fellowship specialty program offered by many medical institutions. There is no board certification for the specialty at this point. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033626403 | Pratik S Shah | Hospitalist | 1 Cooper Plz, Camden, NJ 08103-1461 | 2018-01-06 |
| 1780107482 | Vede James Ramdass | Hospitalist | 1 Cooper Plaza, Camden, NJ 08103 | 2017-07-25 |
| 1740702083 | Alexandra Vrancik | Hospitalist | 1 Cooper Plz, Camden, NJ 08103-1461 | 2017-07-07 |
| 1801326400 | Samantha Pop | Hospitalist | 1 Cooper Plz, Camden, NJ 08103-1461 | 2017-06-15 |
| 1306376264 | Miguel Deleon | Hospitalist | 1 Cooper Plz, Camden, NJ 08103-1461 | 2017-06-14 |
| 1295261287 | Sean Matchett | Hospitalist | 1 Cooper Plz, Camden, NJ 08103-1461 | 2017-05-11 |
| 1881125698 | Kristen Marotta | Hospitalist | 1 Cooper Plz, Camden, NJ 08103-1461 | 2017-03-23 |
| 1659812642 | Kristen Patterson | Hospitalist | 1 Cooper Plz, Camden, NJ 08103-1461 | 2017-03-10 |
| 1275982258 | Cynthia L Glickman | Hospitalist | 1 Cooper Plz, Camden, NJ 08103-1461 | 2016-06-09 |
| 1295184463 | Heaton Kath | Hospitalist | 1 Cooper Plz, Camden, NJ 08103-1461 | 2016-06-08 |
| Find all providers in CAMDEN | ||||
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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.