Provider Demographics
NPI:1053316620
Name:MACMILLAN, FRANCIS P (MD)
Entity Type:Individual
Prefix:
First Name:FRANCIS
Middle Name:P
Last Name:MACMILLAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 PARKWAY
Mailing Address - Street 2:
Mailing Address - City:HAVERHILL
Mailing Address - State:MA
Mailing Address - Zip Code:01830-6278
Mailing Address - Country:US
Mailing Address - Phone:978-521-3235
Mailing Address - Fax:978-521-3236
Practice Address - Street 1:1 PARKWAY
Practice Address - Street 2:
Practice Address - City:HAVERHILL
Practice Address - State:MA
Practice Address - Zip Code:01830-6278
Practice Address - Country:US
Practice Address - Phone:978-521-3235
Practice Address - Fax:978-521-3236
Is Sole Proprietor?:No
Enumeration Date:2005-06-20
Last Update Date:2011-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA80533207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH00000290OtherNEW HAMPSHIRE MEDICAID
MA60737OtherHARVARD PILGRIM HEALTHCAR
MAD11083OtherBLUE CROSS BLUE SHIELD
100014708OtherRAILROAD MEDICARE
1905827OtherCIGNA
63070OtherHEALTHSOURCE
MA028851OtherTUFTS HEALTH PLAN
975013OtherNETWORK HEALTH
NHA54053OtherANTHEM BLUE CROSS
MA110004450AMedicaid
29-00835OtherEVERCARE
0016284OtherNEIGHBORHOOD HEALTH PLAN
NH00000290OtherNEW HAMPSHIRE MEDICAID
MAD11083OtherBLUE CROSS BLUE SHIELD