Individual provider Active NPI

John Richard Mingey, MD

  • Internal Medicine Physician
  • Erie, PA
National Provider Identifier
1578514352
Registry record updated Dec 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD037038E Issued in PA
Practice address
2501 W 12TH St
Erie, PA 16505-4527
Phone
(814) 461-6626
Fax
(814) 871-6351
NPI assigned
May 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD037038E PA Primary

Addresses

Primary practice location

2501 W 12TH St
Erie, PA 16505-4527

Mailing address

2501 W 12TH St
Ste C10
Erie, PA 16505-4527
Phone (814) 461-6626

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jmingey148885@direct.ahn.org

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
I20101102000754 PA Practitioner - Internal Medicine 0840269775 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lake Erie Medical Group PC Internal Medicine CurrentSince Nov 23, 2020 Accepting new patients
Millcreek Family Practice and Internal Medicine PastSince May 1, 2010 Accepting new patients
Saint Vincent Medical Education and Research Institute Past Accepting new patients

Locations

153 E 13th St
Ste 1300
Erie, PA 16503
Phone (814) 452-5081

2501 W 12th St
Ste C4
Erie, PA 16505
Phone (814) 461-6626

2501 W 12th St
Erie, PA 16505
Phone (814) 461-6626

2501 W 12th St
Ste C10
Erie, PA 16505
Phone (814) 452-7879

145 W 23rd St
Ste 202
Erie, PA 16502
Phone (814) 580-5600

Interoperability endpoints

  • Direct secure messaging: jmingey148885@direct.ahn.org

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607472000000",
    "number": "1578514352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 W 12TH ST",
            "address_2": "STE C10",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165054527",
            "telephone_number": "814-461-6626",
            "fax_number": "814-871-6351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 W 12TH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165054527",
            "telephone_number": "814-461-6626",
            "fax_number": "814-871-6351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINGEY",
        "first_name": "JOHN",
        "middle_name": "RICHARD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-15",
        "last_updated": "2020-12-09",
        "certification_date": "2020-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD037038E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jmingey148885@direct.ahn.org",
            "affiliation": "N",
            "address_1": "2501 W 12th St",
            "city": "Erie",
            "state": "PA",
            "country_code": "US",
            "postal_code": "165054527",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

Verify at the official NPI Registry.