NPI Details
Mark Marshall Millar, M.D. is an allergy immunology in Grand Rapids, MI with 33 years of experience. The provider is an allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system. Mark Marshall Millar, M.D. NPI is 1962627802. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
Education
Medical School: NORTHWESTERN UNIVERSITY FEINBERG MEDICAL SCHOOL
Graduation Year:1993
The provider's business location address is:
1179 E PARIS AVE SE
SUITE 150
GRAND RAPIDS, MI
ZIP 49546-371
Phone: (616) 957-1912
Fax: (616) 957-0074
The NPI 1962627802 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.
- Test for allergy using allergenic extract (HCPCS:95004)
- Professional service for preparation and provision of 1 or more antigens (HCPCS:95165)
- Professional service for multiple injections of allergen (HCPCS:95117)
- Test for allergy using allergenic extract injected into skin (HCPCS:95024)
- Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
- Test to measure expiratory airflow and volume (HCPCS:94010)
- New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
- New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
The enumeration date for this NPI number is 4/16/2007 and was last updated on 5/14/2014.
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 | 207K00000X | Allergy & Immunology | | 4301071401 | MICHIGAN | 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 | N99890001 | MEDICARE ID-TYPE UNSPECIFIED | MICHIGAN | |
| 2 | G78098 | MEDICARE UPIN | MICHIGAN | |
| 3 | 347887810 | MEDICAID | MICHIGAN | |