Provider Demographics
NPI:1376561407
Name:MCMILLAN, DEBORAH MARIE (MD)
Entity Type:Individual
Prefix:DR
First Name:DEBORAH
Middle Name:MARIE
Last Name:MCMILLAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3421 CONCORD RD
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17402-9001
Mailing Address - Country:US
Mailing Address - Phone:717-812-2000
Mailing Address - Fax:717-812-2010
Practice Address - Street 1:1575 BANNISTER ST
Practice Address - Street 2:SUITE 1
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17404-4946
Practice Address - Country:US
Practice Address - Phone:717-812-2000
Practice Address - Fax:717-812-2010
Is Sole Proprietor?:No
Enumeration Date:2006-07-17
Last Update Date:2016-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD027709E207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA30115109OtherAMERIHEALTH MERCY-WMG
PA30120478OtherAMERIHEALTH MERCY - CE
MD542982OtherCAREFIRST MD BCBS
PA74229OtherGEISINGER
PW80761OtherUNISON-WMG YFM
PAP002817OtherGATEWAY-WMG
PA4265315OtherAETNA
PA001092580Medicaid
PA0091234000OtherAMERIHEALTH 65 PA
PA191162OtherHIGHMARK BLUE SHIELD
PA30044OtherJOHNS HOPKINS
PA03124301OtherCAPITAL BC-WMG YFM
PA1142410OtherAMERIHEALTH MERCY-WMG
PA189963OtherUNISON-WMG CFA
PA50062720OtherCAPITAL BC-WMG CFA
PA233288OtherMAMSI-WMG
PA03124301OtherCAPITAL BC-WMG YFM
PA30115109OtherAMERIHEALTH MERCY-WMG
PA080068767Medicare PIN