DR. MARYANN ELIZABETH MILLAR MD NPI 1417964990

NPI Information

  • NPI: 1417964990
  • Provider Name: DR. MARYANN ELIZABETH MILLAR, MD
  • Classification: Obstetrics & Gynecology - 207VG0400X
  • Specialization: Gynecology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 4117 MEDICAL CENTER DR
    POD A
    FAYETTEVILLE, NY
    ZIP 13066
  • Phone: (315) 329-4968

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NPI Details

DR. Maryann Elizabeth Millar, MD is a gynecology obstetrics gynecology in Fayetteville, NY. The provider is a physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee DR. Maryann Elizabeth Millar, MD NPI is 1417964990. 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:

4117 MEDICAL CENTER DR
POD A
FAYETTEVILLE, NY
ZIP 13066-600
Phone: (315) 329-4968
Fax: (315) 329-4864

The NPI 1417964990 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 8/1/2006 and was last updated on 11/22/2011.

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
1207VG0400XObstetrics & GynecologyGynecology192084-1NEW YORKYes

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
1J400037008MEDICARE PINNEW YORK
201463083MEDICAIDNEW YORK
3J400032183MEDICARE PINNEW YORK
4F69643MEDICARE UPINNEW YORK

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: 3/30/2025

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