Individual provider Active NPI

Jeffrey Scott Mino, M.D.

  • Surgery Physician
  • Brandon, FL
National Provider Identifier
1174849277
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
ME133755 Issued in FL
Practice address
519 Medical Oaks Ave
Brandon, FL 33511-5961
Phone
(813) 685-7995
Fax
(813) 685-8802
NPI assigned
Apr 14, 2010
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X ME133755 FL Primary

Addresses

Primary practice location

519 Medical Oaks Ave
Brandon, FL 33511-5961

Mailing address

519 Medical Oaks Ave
Brandon, FL 33511-5961

Other practice location 1

519 Medical Oaks Ave
Brandon, FL 33511-5961
Phone (800) 223-2273

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20171102003530 FL Practitioner - General SurgeryPractitioner - Colorectal Surgery (Proctology) 4183922511 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Colorectal Surgery (Proctology)
Education
Rutgers R W Johnson Medical School (Cam/New Bruns/Pisc), 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Greater Tampa Bay Physician Specialists LLCGroup PAC ID 2961637715, 33 clinicians

Practice addresses (Care Compare)

1901 Haverford Ave
Suite 105
Sun City Center, FL 33573-5200
Phone (813) 662-6218

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy18
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Melanoma (skin cancer) excision1-10
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Physicians Professional Alliance, LLC Single Specialty CurrentSince Jul 5, 2020 Accepting new patients
Greater Tampa Bay Physician Specialists, LLC Single Specialty CurrentSince Feb 18, 2024 Accepting new patients

Locations

205 S Moon Ave
Ste 103
Brandon, FL 33511
Phone (813) 324-2613

519 Medical Oaks Ave
Brandon, FL 33511
Phone (813) 657-1414

1901 Haverford Ave
Ste 105
Sun City Ctr, FL 33573
Phone (813) 258-4533

4016 Sun City Center Blvd
Sun City Ctr, FL 33573
Phone (813) 634-0145

2919 W Swann Ave
Ste 300
Tampa, FL 33609
Phone (813) 855-2811

602 S Audubon Ave
Ste A
Tampa, FL 33609
Phone (813) 540-4322

2318 Cypress Cv
Ste 101
Wesley Chapel, FL 33544
Phone (813) 788-5569

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: jeffrey.mino@hca4.eclinicaldirectplus.com

Organizations & group practices 2

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1271203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1174849277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "519 MEDICAL OAKS AVE",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335115961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "519 MEDICAL OAKS AVE",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335115961",
            "telephone_number": "813-685-7995",
            "fax_number": "813-685-8802"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "519 Medical Oaks Ave",
            "address_purpose": "LOCATION",
            "city": "Brandon",
            "state": "FL",
            "postal_code": "335115961",
            "country_code": "US",
            "telephone_number": "800-223-2273",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MINO",
        "first_name": "JEFFREY",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-04-14",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME133755",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brandon, FL

Sources for this page

Verify at the official NPI Registry.