Basic Information
| Provider Information | |||||||||
| NPI: | 1376561407 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | MCMILLAN | ||||||||
| FirstName: | DEBORAH | ||||||||
| MiddleName: | MARIE | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3421 CONCORD RD | ||||||||
| Address2: | |||||||||
| City: | YORK | ||||||||
| State: | PA | ||||||||
| PostalCode: | 174029001 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7178122000 | ||||||||
| FaxNumber: | 7178122010 | ||||||||
| Practice Location | |||||||||
| Address1: | 1575 BANNISTER ST | ||||||||
| Address2: | SUITE 1 | ||||||||
| City: | YORK | ||||||||
| State: | PA | ||||||||
| PostalCode: | 174044946 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7178122000 | ||||||||
| FaxNumber: | 7178122010 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/17/2006 | ||||||||
| LastUpdateDate: | 07/27/2016 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | MD027709E | PA | Y | Allopathic & Osteopathic Physicians | Family Medicine |
ID Information
| ID | Type | State | Issuer | Description | 30115109 | 01 | PA | AMERIHEALTH MERCY-WMG | OTHER | 30120478 | 01 | PA | AMERIHEALTH MERCY - CE | OTHER | 542982 | 01 | MD | CAREFIRST MD BCBS | OTHER | 74229 | 01 | PA | GEISINGER | OTHER | 80761 | 01 | PW | UNISON-WMG YFM | OTHER | P002817 | 01 | PA | GATEWAY-WMG | OTHER | 4265315 | 01 | PA | AETNA | OTHER | 001092580 | 05 | PA | MEDICAID | 0091234000 | 01 | PA | AMERIHEALTH 65 PA | OTHER | 191162 | 01 | PA | HIGHMARK BLUE SHIELD | OTHER | 30044 | 01 | PA | JOHNS HOPKINS | OTHER | 03124301 | 01 | PA | CAPITAL BC-WMG YFM | OTHER | 1142410 | 01 | PA | AMERIHEALTH MERCY-WMG | OTHER | 189963 | 01 | PA | UNISON-WMG CFA | OTHER | 50062720 | 01 | PA | CAPITAL BC-WMG CFA | OTHER | 233288 | 01 | PA | MAMSI-WMG | OTHER |