Individual provider Active NPI

Mindy A Noll, M.D.

  • Family Medicine Physician
  • Dallastown, PA
National Provider Identifier
1265403356
Registry record updated Mar 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD425142 Issued in PA
Practice address
1010 Blymire Rd
Dallastown, PA 17313-9220
Phone
(717) 244-4531
Fax
(717) 246-8573
NPI assigned
Jan 28, 2006
Last updated
Mar 3, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD425142 PA Primary

Addresses

Primary practice location

1010 Blymire Rd
Dallastown, PA 17313-9220

Mailing address

1010 Blymire Rd
Dallastown, PA 17313-9220
Phone (717) 244-4531

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20050119000130 PA Practitioner - Family Practice 6709879588 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Pennsylvania State University College of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Dallastown Medical Associates LLPGroup PAC ID 1153306576, 7 clinicians

Practice addresses (Care Compare)

1010 Blymire Rd
Dallastown, PA 17313-9220
Phone (717) 244-4531

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD425142PAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dallastown Medical Associates LLP Family Medicine CurrentSince Jan 3, 2005 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

1010 Blymire Rd
Dallastown, PA 17313
Phone (717) 244-4531

Interoperability endpoints

  • Direct secure messaging: drmnoll@dallastownmedical.medentdirect.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 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1138406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236038400000",
    "number": "1265403356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 BLYMIRE RD",
            "city": "DALLASTOWN",
            "state": "PA",
            "postal_code": "173139220",
            "telephone_number": "717-244-4531",
            "fax_number": "717-246-8573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 BLYMIRE RD",
            "city": "DALLASTOWN",
            "state": "PA",
            "postal_code": "173139220",
            "telephone_number": "717-244-4531",
            "fax_number": "717-246-8573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOLL",
        "first_name": "MINDY",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-28",
        "last_updated": "2009-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD425142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallastown, PA

Sources for this page

Verify at the official NPI Registry.