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NPI Code Detail

MEDICARE: JOHN ANDREW MILLIN M.D.

MEDICARE: JOHN ANDREW MILLIN M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207W00000XOphthalmology Physician47269KY
2207W00000XOphthalmology Physician01074215AIN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1730182221
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOHN ANDREW MILLIN M.D.
Provider Business Mailing Address
First Line : 1935 BLUEGRASS AVE
Second Line : SUITE 200
City : LOUISVILLE
State : KY
Zip : 40215-1179
Country : US
Telephone Number : 502-364-0033
Fax Number : 502-361-4488
Provider Business Practice Location Address
First Line : 1935 BLUEGRASS AVE
Second Line : SUITE 200
City : LOUISVILLE
State : KY
Zip : 40215-1179
Country : US
Telephone Number : 502-364-0033
Fax Number : 502-361-4488
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/27/2005
Last Update Date : 10/17/2024

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Directions to “ JOHN ANDREW MILLIN M.D.” Practice Location

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