VIPAPORN SERIBURI MILLARD PA-C NPI 1174791248

NPI Information

NPI: 1174791248
Provider Name: VIPAPORN SERIBURI MILLARD, PA-C
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

Organization: PROFESSIONAL SERVICES OF HOLY CROSS

PECOS Registration: Yes

Address:
18101 PRINCE PHILIP DR
OLNEY, MD
ZIP 20832
Phone: (301) 774-8610
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Vipaporn Seriburi Millard, PA-C is a surgical physician assistant in Olney, MD with 17 years of experience. Vipaporn Seriburi Millard, PA-C NPI is 1174791248. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

18101 PRINCE PHILIP DR
OLNEY, MD
ZIP 20832-514
Phone: (301) 774-8610

The NPI 1174791248 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/12/2008 and was last updated on 3/17/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363A00000X	Physician Assistant		C0003544	MARYLAND	No
2	363AS0400X	Physician Assistant	Surgical	35.096586	OHIO	No
3	363AS0400X	Physician Assistant	Surgical	PA171841	OREGON	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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