MEDICARE: DR. CHARLES MARK MILLSAP MD

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
1	207W00000X	Ophthalmology Physician	30334	KY
2	207W00000X	Ophthalmology Physician	01043469A	IN

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	180018982	OTHER		RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	000000273547	OTHER	IN	ANTHEM
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1932103736
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHARLES MARK MILLSAP MD

Provider Business Mailing Address
First Line	:	2845 FARRELL CRESCENT
Second Line	:
City	:	OWENSBORO
State	:	KY
Zip	:	42303
Country	:	US
Telephone Number	:	270-926-3297
Fax Number	:	270-926-7325

Provider Business Practice Location Address
First Line	:	2845 FARRELL CRESCENT
Second Line	:
City	:	OWENSBORO
State	:	KY
Zip	:	42303
Country	:	US
Telephone Number	:	270-926-3297
Fax Number	:	270-926-7325

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/09/2005
Last Update Date	:	12/23/2009

Similar Medicare Providers

1942144647 — SABRINA SIVARAMAN
Practice Location Address:

811 E PARRISH AVE STE 102
OWENSBORO, KY
42303-3258

Practice Phone: 270-688-1228
Practice Fax:

1639793888 — INTEGRATIVE BEHAVIORAL HEALTH AND ALTERNATIVE HEALING ARTS, LLC
Practice Location Address:

1727 SWEENEY ST STE 102
OWENSBORO, KY
42303-3834

Practice Phone: 270-313-2988
Practice Fax:

1033053285 — DR. CALEB JOSEPH SEDLAK MD
Practice Location Address:

UOFL/OWENSBORO FAMILY MEDICINE RESIDENCY 811 E. PARRISH , AVE, SUITE 102
OWENSBORO, KY
42303

Practice Phone: 270-688-1228
Practice Fax:

1437419009 — BRENDE L LOTT APRN
Practice Location Address:

2200 E PARRISH AVE BLDG B
OWENSBORO, KY
42303-1449

Practice Phone: 270-926-3700
Practice Fax: 270-926-0368

1386731404 — DAVID A SLOSKY MD
Practice Location Address:

1201 PLEASANT VALLEY RD
OWENSBORO, KY
42303-9811

Practice Phone: 270-417-7500
Practice Fax: 270-417-7509

1851360994 — MATTHEW J TAYLOR
Practice Location Address:

2841 NEW HARTFORD RD
OWENSBORO, KY
42303-1320

Practice Phone: 270-691-6161
Practice Fax: 270-926-2364

1407879349 — WENDELL FOSTER'S CAMPUS FOR DEVELOPMENTAL DISABILITIES
Practice Location Address:

815 TRIPLETT ST
OWENSBORO, KY
42303-3564

Practice Phone: 270-683-4517
Practice Fax: 270-683-0079

Directions to “ DR. CHARLES MARK MILLSAP MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.