Edward J. Minger Jr., PAC

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

MA000280L Issued in PA

Practice address

153 Brodhead Rd
Bethlehem, PA 18017-8931

Phone

(610) 954-3218

Fax

(610) 954-3180

NPI assigned

May 20, 2006

Last updated

Feb 25, 2009By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: waleska.minger@slpg.direct-sluhn.org

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.

• St. Luke's Hospital

  dba St. Luke's Sports Medicine

  • Sports Medicine (Preventive Medicine) Physician
  • Bethlehem, PA
  • NPI 1437356441
  NPD (past)
• St. Luke's Hospital

  dba St. Luke's Physician Assistants

  • Physician Assistant
  • Bethlehem, PA
  • NPI 1982798088
  NPD (past)
• St. Luke's Hosptial

  dba St. Luke's Care Now - Wind Gap

  • Urgent Care Clinic/Center
  • Wind Gap, PA
  • NPI 1376965731
  NPD (past)

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1235520000000",
    "number": "1437103751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "153 BRODHEAD RD",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180178931",
            "telephone_number": "610-954-3218",
            "fax_number": "610-954-3180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "153 BRODHEAD RD",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180178931",
            "telephone_number": "610-954-3218",
            "fax_number": "610-954-3180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINGER",
        "first_name": "EDWARD",
        "middle_name": "J.",
        "name_suffix": "Jr.",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-20",
        "last_updated": "2009-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA000280L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mind of the Athlete, LLC
• Mindful Lotus Counseling, LLC
• Mindful Psychotherapy LLC
• Tonya Mineo, M.ED
• Kristin Minetola, RD, CNSC, LDN
• Minimally Invasive Care Institute of Lehigh Valley LLC
• Shannon Michelle Minnick, M.A.
• Megan Minor, MD
• Amanda R Minott
• Minuteclinic Diagnostic of Pennsylvania LLC

• Medical Physician Assistant in Bethlehem, PA
• Providers in Bethlehem, PA by specialty
• Medical Physician Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2009; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.