Rudolph I Mintz Jr

Primary specialty

SpecialistTaxonomy code 174400000X

License

15536 Issued in NC

Legal business name

RUDOLPH I MINTZ JR

Practice address

400 Glenwood Ave
Suite 11
Kinston, NC 28501-3851

Phone

(252) 527-5500

Fax

(252) 527-4875

NPI assigned

Aug 31, 2007

Last updated

Oct 18, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Rudolph I. Mintz Jr., M.D.NPI 1366495236

Title

Owner/Operator

Phone

(252) 527-5500

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Rudolph Ivey Mintz, MD

  • Gynecology Physician
  • Kinston, NC
  • NPI 1366495236
  Authorized official Same address or phone

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

{
    "created_epoch": "1188518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287360000000",
    "number": "1679767750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 GLENWOOD AVE",
            "address_2": "SUITE 11",
            "city": "KINSTON",
            "state": "NC",
            "postal_code": "285013851",
            "telephone_number": "252-527-5500",
            "fax_number": "252-527-4875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 GLENWOOD AVE",
            "address_2": "SUITE 11",
            "city": "KINSTON",
            "state": "NC",
            "postal_code": "285013851",
            "telephone_number": "252-527-5500",
            "fax_number": "252-527-4875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUDOLPH I MINTZ JR",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-31",
        "last_updated": "2010-10-18",
        "status": "A",
        "authorized_official_last_name": "MINTZ",
        "authorized_official_first_name": "RUDOLPH",
        "authorized_official_middle_name": "I.",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "252-527-5500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NC",
            "license": "15536",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Crystal Lynn Ross, NP-C
• Glenda J Roulhac, MSW, LCAS, CCS
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• Jill Rouse
• Kishore Roy Chowdhury, M.D
• Janine Russell, DNP
• Eric Michael Rutland, PA
• Frank Sabiston Jr., MD
• Madison Saint-Amand
• Phil S Sanders, DDS

• Specialist in Kinston, NC
• Providers in Kinston, NC by specialty
• Specialist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.