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

Sex

Male

Sole proprietor

No

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.

• St. Luke'S Hospital

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

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

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

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

Practice roles

Interoperability endpoints

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

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 25, 2009.

{
    "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

• All providers in Bethlehem, PA
• 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.