Active NPI
Anthony J Mingo, EMT-CP, CHW-C
- Paramedic
- Mineral Point, MO
National Provider Identifier
1144025107
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Paramedic
- License
- CP-18785
- Practice address
- 6900 Bill Gum Business Blvd
Mineral Point, MO 63660-9253 - Phone
- (573) 438-3635
- Fax
- (573) 438-3665
- NPI assigned
- Feb 14, 2025
- Last updated
- Feb 14, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Educator | 174H00000X | MO | ||
| Community Health Worker | 172V00000X | 17201 | MO | |
| Paramedic | 146L00000X | CP-18785 | MO | Primary |
Addresses
Primary practice location
6900 Bill Gum Business Blvd
Mineral Point, MO 63660-9253
Mailing address
6900 Bill Gum Business Blvd
Mineral Point, MO 63660-9253
Phone (573) 438-3635
Other practice location 1
1 Southtowne Dr
Potosi, MO 63664-5729
Phone (573) 438-8322
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CP-18785 | MO | MD | Paramedic |
| 17201 | MO | MD | Community Health Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Washington County Ambulance District | Emergency Medical Technician, Paramedic | Current | Accepting new patients |
Locations
6900 Bill Gum Business Blvd
Mineral Point, MO 63660
Phone (573) 438-3635
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Paramedic
- Mineral Point, MO
- NPI 1790909828
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1739491200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739491200000",
"number": "1144025107",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6900 BILL GUM BUSINESS BLVD",
"city": "MINERAL POINT",
"state": "MO",
"postal_code": "636609253",
"telephone_number": "573-438-3635",
"fax_number": "573-438-3665"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6900 BILL GUM BUSINESS BLVD",
"city": "MINERAL POINT",
"state": "MO",
"postal_code": "636609253",
"telephone_number": "573-438-3635",
"fax_number": "573-438-3665"
}
],
"practiceLocations": [
{
"address_1": "1 Southtowne Dr",
"address_purpose": "LOCATION",
"city": "Potosi",
"state": "MO",
"postal_code": "636645729",
"country_code": "US",
"telephone_number": "573-438-8322",
"fax_number": "573-438-8393",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MINGO",
"first_name": "ANTHONY",
"middle_name": "J",
"credential": "EMT-CP, CHW-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-02-14",
"last_updated": "2025-02-14",
"certification_date": "2025-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "174H00000X",
"taxonomy_group": "",
"desc": "Health Educator",
"state": "MO",
"license": null,
"primary": false
},
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "MO",
"license": "17201",
"primary": false
},
{
"code": "146L00000X",
"taxonomy_group": "",
"desc": "Emergency Medical Technician, Paramedic",
"state": "MO",
"license": "CP-18785",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mineral Point, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.