MILTON O MEDEIROS MD NPI 1366410599

NPI Information

NPI: 1366410599
Provider Name: MILTON O MEDEIROS, MD
Classification: Specialist - 174400000X
Entity Type: Individual
Address:
3035 N HIGHLAND AVE
JACKSON, TN
ZIP 38305
Phone: (731) 664-0899
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Milton O Medeiros, MD is a specialist in Jackson, TN. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. Milton O Medeiros, MD NPI is 1366410599. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3035 N HIGHLAND AVE
JACKSON, TN
ZIP 38305-411
Phone: (731) 664-0899
Fax: (731) 664-0946

The enumeration date for this NPI number is 3/14/2006 and was last updated on 7/9/2007.

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	174400000X	Specialist		7727	TENNESSEE	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	P00242733	OTHER	TENNESSEE	RAILROAD MEDICARE NO
2	4105401	OTHER	TENNESSEE	BCBS OF TENNESSEE
3	F62500	MEDICARE UPIN	TENNESSEE
4	3827978	MEDICAID	TENNESSEE
5	3827978	MEDICARE ID-TYPE UNSPECIFIED	TENNESSEE	INDIVIDUAL MEDICARE NO
6	000000165679	OTHER	TENNESSEE	UNISON NO
7	000000034150	OTHER	TENNESSEE	TLC NO

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: 4/28/2024

NPI Synchronization or Removal

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