DANNY L MINGUS (NPI# 1942206479) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942206479 |
| Entity Type | Individual |
| Full Name | DANNY L MINGUS |
| Credential | PA-C |
| Practice Address |
255 Sw 8th Ave Cedaredge CO 81413-3902 |
| Practice Telephone | 9708563146 |
| Practice Fax Number | 9708564385 |
| Mailing Telephone | 9708563146 |
| Mailing Fax Number | 9708564385 |
| Enumeration Date | 2005-06-21 |
| Last Update Date | 2018-04-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA.0004609 | CO | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | 102823 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | MEDICARE B PTAN FOR MOUNTAIN PEAKS URGENT CARE | 517692YYS0 | 01 |
| CO | MEDICARE B PTAN FOR NORTH FORK MEDICAL CLINIC | 504498ZS0N | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 569 32 Rd Ste 12, Grand Junction, CO 815046095 | 9705233544 | 9704343422 |
| Street Address |
255 SW 8TH AVE |
| City | CEDAREDGE |
| State | CO |
| Zip Code | 81413-3902 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326648254 | Surface Creek Family Practice PC | Family Medicine | 255 Sw 8th Ave, Cedaredge, CO 81413 | 2020-10-29 |
| 1184189425 | Mathew Mccullough | Family Medicine | 255 Sw 8th Ave, Cedaredge, CO 81413-3902 | 2019-01-31 |
| 1497242820 | Stephanie Lynn Nickel | Counselor | 255 Sw 8th Ave, Cedaredge, CO 81413-3902 | 2018-04-20 |
| 1285039610 | Shawn Palmer | Physician Assistant | 255 Sw 8th Ave, Cedaredge, CO 81413-3902 | 2014-10-28 |
| 1053625798 | Julie Ann Fournier | Nurse Practitioner | 255 Sw 8th Ave, Surface Creek Family Practice, Cedaredge, CO 81413 | 2010-08-05 |
| 1194925586 | Debra Jo Hillyer | Physician Assistant | 255 Sw 8th Ave, Cedaredge, CO 81413-3902 | 2007-07-23 |
| 1467583450 | Timothy C Meilner | Family Medicine | 255 Sw 8th Ave, Cedaredge, CO 81413-3902 | 2007-03-08 |
| 1093754491 | Kevin L Pulsipher | Family Medicine | 255 Sw 8th Ave, Cedaredge, CO 81413-3902 | 2006-06-04 |
| 1558309005 | Surface Creek Family Practice, PC | Clinic/Center | 255 Sw 8th Ave, Cedaredge, CO 81413-3902 | 2006-06-04 |
| 1659318137 | Eric Anthony Peper | Family Medicine | 255 Sw 8th Ave, Cedaredge, CO 81413-3902 | 2006-06-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194066910 | Dottie Marie Williams-whitlock | Massage Therapist | 735 S. Grand Mesa Drive, Cedaredge, CO 81413 | 2013-03-04 |
| 1194897447 | Cedaredge Pharmacy Inc. | Pharmacy | 215 W. Main St, Cedaredge, CO 81413 | 2006-11-14 |
| 1972689933 | Kendra Kinney | Social Worker | 195 West Main, Cedaredge, CO 81413 | 2006-10-31 |
| 1245766716 | Essential Embodiment LLC | Home Infusion | 120 W Main St, Suite D, Cedaredge, CO 81413 | 2017-05-03 |
| 1003349093 | John George Breitnauer Jr. | Pharmacist | 215 W Main St, Cedaridge, CO 81413-1044 | 2017-04-06 |
| 1316429848 | Millennium Regenerative Medicine, Inc. | Clinic/Center | 175 E Main St, Cedaredge, CO 81413-3331 | 2018-08-31 |
| 1265633606 | Christin Dawn Hawbaker | Acupuncturist | 175 E Main St, Cedaredge, CO 81413-3331 | 2007-05-31 |
| 1093849564 | Timothy Parker Hawbaker | Acupuncturist | 175 E Main St, Cedaredge, CO 81413-3331 | 2007-03-15 |
| 1346243516 | Terry S Wade | Family Medicine | 255 S Grand Mesa Dr, Cedaredge, CO 81413-3822 | 2005-05-23 |
| 1922060656 | Cedaredge Doctors Office PC | Family Medicine | 255 S Grand Mesa Dr, Cedaredge, CO 81413-3822 | 2006-04-06 |
| Find all providers in zip 81413 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194925586 | Debra Jo Hillyer | Physician Assistant | 255 Sw 8th Ave, Cedaredge, CO 81413-3902 | 2007-07-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649871518 | Emily Tracy | Physician Assistant | 172 Siesta Cir, Evergreen, CO 80439-4339 | 2020-11-05 |
| 1285234914 | Austin Ethridge | Physician Assistant | 22101 County Road 22, Hudson, CO 80642-9514 | 2020-10-30 |
| 1396345195 | Clarissa Rachael Flynn | Physician Assistant | 13795 W Kentucky Dr, Lakewood, CO 80228-3064 | 2020-10-29 |
| 1386244895 | Cheyenne M Zurfluh | Physician Assistant | 1301 Lory St, Fort Collins, CO 80524-4213 | 2020-10-26 |
| 1043819576 | Patrick Ryan Murphy | Physician Assistant | 1160 Sandstone Dr, Vail, CO 81657-4408 | 2020-10-26 |
| 1114527652 | Li Ashley Lim | Physician Assistant | 132 W B St Apt 3k, Pueblo, CO 81003-3446 | 2020-10-26 |
| 1477152957 | Erin Lynn Hellerstedt | Physician Assistant | 766 S Martin St Apt C222, Longmont, CO 80501-6493 | 2020-10-26 |
| 1962001438 | Brian Andrew Kacvinsky | Physician Assistant | 1333 E 17th Ave, Denver, CO 80218-1526 | 2020-10-25 |
| 1750980298 | Rachel Wolfe | Physician Assistant | 38 Qualla Ct, Boulder, CO 80303-3900 | 2020-10-24 |
| 1255930897 | Lee Finley-blasi | Physician Assistant | 841 Atwood St, Longmont, CO 80501-5020 | 2020-10-24 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.