| Cody H Mcmillan, | |
|
1 Childrens Plz, Dayton, OH 45404-1873 | |
| (937) 641-3000 | |
| Not Available |
| Full Name | Cody H Mcmillan |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 1 Childrens Plz, Dayton, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003538299 | NPI | - | NPPES |
| 0001333 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 50.007814RX (Ohio) | Primary |
| Entity Name | Dayton Childrens Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952480030 PECOS PAC ID: 5496792418 Enrollment ID: O20050412000416 |
| Entity Name | Dayton Childrens Specialty Physicians Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225192610 PECOS PAC ID: 5496916124 Enrollment ID: O20181024001690 |
| Mailing Address | Practice Location Address |
|---|---|
| Cody H Mcmillan, Po Box 933432, Cleveland, OH 44193-0039 Ph: (937) 641-3000 | Cody H Mcmillan, 1 Childrens Plz, Dayton, OH 45404-1873 Ph: (937) 641-3000 |
Nicole Lynne-bendt Scott, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1 Childrens Plz, Dayton, OH 45404 Phone: 937-641-3600 Fax: 937-641-5802 | |
Annemarie Rose Underwood, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 3535 Southern Blvd, Dayton, OH 45429 Phone: 937-395-8166 | |
Lauren Hailey Ward, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 33 W Rahn Rd # 101, Dayton, OH 45429 Phone: 937-433-8990 Fax: 937-433-8691 | |
Mr. Douglas W Johnson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1 Elizabeth Pl, 4th Floor, Dayton, OH 45408 Phone: 937-221-7001 Fax: 937-224-5307 | |
Kathleen A. Rowell, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 4100 W 3rd St, Dayton, OH 45428 Phone: 937-268-6511 | |
Jessica Lynn Galli Robertson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 30 E Apple St Ste 5254a, Dayton, OH 45409 Phone: 937-208-4200 Fax: 937-208-4205 |