Individual provider Active NPI

Anthony J Mingo, EMT-CP, CHW-C

  • Paramedic
  • Mineral Point, MO
National Provider Identifier
1144025107
Registry record updated Feb 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ParamedicTaxonomy code 146L00000X
License
CP-18785 Issued in MO
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, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
CP-18785MOMDParamedic
17201MOMDCommunity Health Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Washington County Ambulance District Emergency Medical Technician, Paramedic CurrentSince Feb 23, 2025 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.

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.

Verify at the official NPI Registry.