Thomas Dwight Mino II, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

32805 Issued in CO

Practice address

8350 WCR 13 (Colorado Blvd)
Suite 160
Firestone, CO 80504

Phone

(303) 689-5160

Fax

(303) 689-5175

NPI assigned

Dec 28, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Philadelphia College of Osteopathic Medicine, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Intermountain Medical Group Denver LLCGroup PAC ID 0840513552, 571 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Good Samaritan Medical Center LLC Hospital, Lafayette, CO, CCN 060116

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: tmino7089@direct.intermountainhealth.org

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.

• Intermountain Medical Group Denver, LLC

  • Family Medicine Physician
  • Denver, CO
  • NPI 1083021083
  Medicare reassignment Care Compare group NPD
• Intermountain Front Range, Inc.

  • Internal Medicine Physician
  • Wheat Ridge, CO
  • NPI 1083444079
  Medicare reassignment NPD
• Mino Family Health Care, P.C.

  • Family Medicine Physician
  • Longmont, CO
  • NPI 1598721706
  NPD (past) Authorized official
• Intermountain Front Range, Inc.

  • General Acute Care Hospital
  • Wheat Ridge, CO
  • NPI 1619706249
  NPD
• Intermountain Front Range, Inc.

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Wheat Ridge, CO
  • NPI 1649210188

  Family Medicine

  NPD
• Intermountain Medical Group Denver, LLC

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Denver, CO
  • NPI 1083598874
  NPD
• Intermountain Medical Group Denver, LLC

  • Occupational Medicine Clinic/Center
  • Wheat Ridge, CO
  • NPI 1184238867
  NPD
• Southeast Family Practice Associates P C

  • Family Medicine Physician
  • Denver, CO
  • NPI 1235185794
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Good Samaritan Medical Center, LLC

  • General Acute Care Hospital
  • Lafayette, CO
  • NPI 1407845035
  Care Compare affiliation

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205366400000",
    "number": "1144386012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2480 W 26TH AVE",
            "address_2": "SUITE 200B EPN",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802115309",
            "telephone_number": "303-467-4162",
            "fax_number": "303-467-4156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8350 WCR 13 (COLORADO BLVD)",
            "address_2": "SUITE 160",
            "city": "FIRESTONE",
            "state": "CO",
            "postal_code": "80504",
            "telephone_number": "303-689-5160",
            "fax_number": "303-689-5175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINO",
        "first_name": "THOMAS",
        "middle_name": "DWIGHT",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-28",
        "last_updated": "2008-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "32805",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01328053",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Holly E McBride, PA-C
• Joyce Diane McHugh, LCSW
• Lauren Mary McIlvanie
• Francisca Melendez-Chavez, PA
• Valerie Lynn Miller, CCC-SLP
• Amanda Moon
• Tristin Moreland, M.S., CCC-SLP
• Lesley D Moritz, PA-C
• Erin Daphne Christena Moulin, PHARMD
• My Local Colorado Dental Practice, LLC

• Family Medicine Physician in Firestone, CO
• Providers in Firestone, CO by specialty
• Family Medicine Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.