MARK MARSHALL MILLAR (NPI# 1962627802) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962627802 |
| Entity Type | Individual |
| Full Name | MARK MARSHALL MILLAR |
| Credential | M.D. |
| Practice Address |
1179 E Paris Ave Se Suite 150 Grand Rapids MI 49546-8371 |
| Practice Telephone | 6169571912 |
| Practice Fax Number | 6169570074 |
| Mailing Telephone | 6169571912 |
| Mailing Fax Number | 6169570074 |
| Enumeration Date | 2007-04-16 |
| Last Update Date | 2014-05-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207K00000X | Allergy & Immunology | 4301071401 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 347887810 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255601027 | Mark Richard Millar | Pharmacist | 2920 White Bear Ave N, Maplewood, MN 55109-1304 | 2012-01-10 |
| Street Address |
1179 E PARIS AVE SE SUITE 150 |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49546-8371 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699772442 | William J Walters | Psychiatry & Neurology | 1179 E Paris Ave Se, Suite 220, Grand Rapids, MI 49546-3682 | 2005-07-07 |
| 1669864732 | Brett Kingma | Dentist | 1179 E Paris Ave Se, Grand Rapids, MI 49546-8371 | 2015-02-26 |
| 1144505058 | Spectrum Health Primary Care Partners | Psychiatry & Neurology | 1179 E Paris Ave Se, Ste. 220, Grand Rapids, MI 49546-8371 | 2011-10-12 |
| 1952604878 | Spectrum Health Primary Care Partners | Colon & Rectal Surgery | 1179 E Paris Ave Se, Ste. 200, Grand Rapids, MI 49546-8371 | 2010-12-15 |
| 1821390097 | Scott M Mahar | Audiologist | 1179 E Paris Ave Se, Grand Rapids, MI 49546-8371 | 2010-11-22 |
| 1609188531 | Grady S Randall | Dentist | 1179 E Paris Ave Se, Grand Rapids, MI 49546-8371 | 2010-07-08 |
| 1720250145 | Karen Lynn Meyerson | Nurse Practitioner | 1179 E Paris Ave Se, Suite 150, Grand Rapids, MI 49546-8371 | 2008-03-26 |
| 1407066996 | Andrew M. Behler | Otolaryngology | 1179 E Paris Ave Se, Grand Rapids, MI 49546-8371 | 2007-05-23 |
| 1457563959 | James Anthony Spoto | Otolaryngology | 1179 E Paris Ave Se, Grand Rapids, MI 49546-8371 | 2007-05-04 |
| 1720201742 | Darius Lamont Randall | Social Worker | 1179 E Paris Ave Se, Grand Rapids, MI 49546-8371 | 2007-04-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437762986 | Amanda Mae Ostrom | Speech-Language Pathologist | 710 Kenmore Ave Se, #110, Grand Rapids, MI 49546 | 2020-08-25 |
| 1063075562 | Kelly Lynn Ibarra | Counselor | 4467 Cascade Road Se, Suite #4479, Grand Rapids, MI 49546 | 2019-04-19 |
| 1891257036 | Jessica Matthews LLC | Counselor | 4127 Embassy Drive Se, Grand Rapids, MI 49546 | 2019-04-05 |
| 1326518531 | Neah Morgan | Technician | 4220 Burton St Se, Grand Rapids, MI 49546 | 2018-11-29 |
| 1316430267 | Michael John Benskey | Case Manager/Care Coordinator | 4065 Saladin St Se, Grand Rapids, MI 49546 | 2018-06-14 |
| 1679062772 | Smile Cascade, P.C. | Clinic/Center | 4505 Cascade Rd Se # A, Grand Rapids, MI 49546 | 2018-05-03 |
| 1720583289 | Jeromy Krogman | Counselor | 826 Parchment Drive Se, Grand Rapids, MI 49546 | 2018-03-27 |
| 1841792660 | Affordable Hearing Clinic | Hearing Instrument Specialist | 833 Kenmoor Ave Se Ste G, Grand Rapids, MI 49546 | 2018-03-07 |
| 1689176133 | Kelly Pines | Physical Therapist | 625 Kenmoor Ave Suite 306, Grand Rapids, MI 49546 | 2018-03-01 |
| 1467971440 | Deanna Elizabeth Saenz | Social Worker | 2100 Raybrook St Se Ste 300, Grand Rapids, MI 49546 | 2017-09-12 |
| Find all providers in zip 49546 | ||||
| Taxonomy Code | 207K00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Allergy & Immunology |
| An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system. |
| Notes: Source: American Board of Medical Specialties, 2007, www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Allergy and Immunology, 2007. http://www.abai.org/ No subspecialty certificates in allergy and immunology are offered by the American Board of Allergy and Immunology (ABAI). The ABAI, however, does offer formal special pathways for physicians seeking dual certification in allergy/immunology and pediatric pulmonology; allergy/immunology and pediatric rheumatology; and allergy/immunology and adult rheumatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447364237 | Sara J Uekert | Allergy & Immunology | 970 Parchment Dr Se, Suite 203, Grand Rapids, MI 49546-8302 | 2006-08-18 |
| 1306950142 | Christine M Schafer | Allergy & Immunology | 970 Parchment Drive Se, Suite 203, Grand Rapids, MI 49546 | 2006-08-18 |
| 1457371494 | Richard Roy Townley | Allergy & Immunology | 3625 Clyde Park Ave Sw, Suite 1, Grand Rapids, MI 49509-4023 | 2006-07-20 |
| 1518902022 | Allergy & Asthma Care of W Mi PC | Allergy & Immunology | 1179 East Paris Se, Suite 150, Grand Rapids, MI 49546-3680 | 2006-06-18 |
| 1346215563 | Vincent A Dubravec | Allergy & Immunology | 5055 Plainfield Ave Ne, Suite C, Grand Rapids, MI 49525-1075 | 2006-02-21 |
| 1609870526 | Edward Thomas Stern | Allergy & Immunology | 2120 43rd St Se, Ste 700, Grand Rapids, MI 49508-3717 | 2005-06-09 |
| 1811336506 | Amanda Rudert Holsworth | Allergy & Immunology | 3271 Clear Vista Ct Ne, Grand Rapids, MI 49525 | 2013-06-17 |
| 1346509692 | Jacqueline Eastman Yam | Allergy & Immunology | 3271 Clear Vista Ct Ne, Grand Rapids, MI 49525-9477 | 2012-05-08 |
| 1326333444 | Theodore Edward Kelbel | Allergy & Immunology | 3271 Clear Vista Ct Ne, Grand Rapids, MI 49525-9477 | 2011-06-16 |
| 1669766325 | Nicholas L Hartog | Allergy & Immunology | 3271 Clear Vista Ct Ne, Grand Rapids, MI 49525-9477 | 2011-05-30 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 49546 |
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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.