Physician Compare National (NPI:1316010846)

HEALTHCARE PROVIDER: JEFFREY DAVID MILLMAN MD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1316010846
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	9436175585
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20051019000001
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	MILLMAN
	Individual professional last name
Provider First Name	JEFFREY
	Individual professional first name
Provider Middle Name	D
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.
Provider Credential Text	MD
	The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information
Medical School Name	R FRANKLIN UNIVERSITY OF MED & SCI/CHICAGO MEDICAL SCHOOL
	Individual professional's medical school
Graduation Year	1972
	Individual professional's medical school graduation year
Primary Specialty	FAMILY MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	1321 N MCCARRAN BLVD
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 103
	Group Practice or individual's line 2 address
City	SPARKS
	Group Practice or individual's city
State	NV
	Group Practice or individual's state
Zip Code	894313873
	Group Practice or individual's zip code (9 digits when available)
Phone Number	7753311555
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	290001
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	RENOWN REGIONAL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	290032
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	NORTHERN NEVADA MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	290009
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	SAINT MARY'S REGIONAL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	290019
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	CARSON TAHOE REGIONAL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 4
Professional Accepts Medicare Assignment	Y