Individual provider Active NPI

Jon Kent Minford, M.D.

  • Medical Oncology Physician
  • Columbia, MD
National Provider Identifier
1003881145
Registry record updated Aug 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Oncology PhysicianTaxonomy code 207RX0202X
License
D0030573 Issued in MD
Practice address
10710 Charter Dr
Suite G020
Columbia, MD 21044-3128
Phone
(410) 964-2212
Fax
(410) 964-0380
NPI assigned
Feb 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Oncology Physician 207RX0202X D0030573 MD Primary

Addresses

Primary practice location

10710 Charter Dr
Suite G020
Columbia, MD 21044-3128

Mailing address

10710 Charter Dr
Suite G020
Columbia, MD 21044-3128
Phone (410) 964-2212

Other identifiers 1

IdentifierTypeStateIssuer
350531600MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071016000318 DC Practitioner - Medical OncologyPractitioner - Hematology/Oncology 7618867763 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
D0030573MDMDMedical Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Maryland Oncology Hematology, P.a. CurrentSince Jun 1, 2011 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
University of Maryland Radiation Oncology Associates PA Past Accepting new patients
Maryland Oncology Hematology, P.a. Medical Oncology Past Accepting new patients

Locations

10710 Charter Dr
Ste G020
Columbia, MD 21044
Phone (410) 964-2212

7350 Van Dusen Rd
Ste 370
Laurel, MD 20707
Phone (301) 982-9800

18101 Prince Philip Dr
Olney, MD 20832
Phone (301) 774-8618

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1140566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313020800000",
    "number": "1003881145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10710 CHARTER DR",
            "address_2": "SUITE G020",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210443128",
            "telephone_number": "410-964-2212",
            "fax_number": "410-964-0380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10710 CHARTER DR",
            "address_2": "SUITE G020",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210443128",
            "telephone_number": "410-964-2212",
            "fax_number": "410-964-0380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINFORD",
        "first_name": "JON",
        "middle_name": "KENT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-22",
        "last_updated": "2011-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "MD",
            "license": "D0030573",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "350531600",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.