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NPI Code Detail

MEDICARE: GARY M MILLARD DO

MEDICARE: GARY M MILLARD DO
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
1207XS0106XOrthopaedic Hand Surgery Physician34007634OH
22086S0105XSurgery of the Hand (Surgery) Physician34.007634OH

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2SP9213471OTHEROHGROUP MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1770566283
Entity Type Code : Individual
Provider Name (Legal Business Name) : GARY M MILLARD DO
Provider Business Mailing Address
First Line : 70 S CLEVELAND AVE
Second Line :
City : WESTERVILLE
State : OH
Zip : 43081-1397
Country : US
Telephone Number : 614-890-6555
Fax Number : 614-823-8881
Provider Business Practice Location Address
First Line : 70 S CLEVELAND AVE
Second Line :
City : WESTERVILLE
State : OH
Zip : 43081-1397
Country : US
Telephone Number : 614-890-6555
Fax Number : 614-823-8881
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/29/2005
Last Update Date : 11/18/2021

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