Active NPI
David E Minga, CRNA
- Certified Registered Nurse Anesthetist
- London, KY
National Provider Identifier
1720052897
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 1953A
- Practice address
- 310 E 9TH St
London, KY 40741-1204 - Phone
- (606) 878-6520
- Fax
- (606) 877-3978
- NPI assigned
- Feb 15, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 1953A | KY | Primary |
Addresses
Primary practice location
310 E 9TH St
London, KY 40741-1204
Mailing address
740 E Laurel Rd
London, KY 40741-8601
Phone (606) 877-3931
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C20887 | Other | KY | CUMBERLAND HEALTHCARE INC |
| P00335909 | Other | KY | RRMCR |
| 74422999 | Medicaid | KY | |
| 000000378007 | Other | KY | ANTHEM PROVIDER # |
| 50005621 | Other | KY | PASSPORT HEALTH PLAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1953A | KY | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Definitive Medical Solutions, PSC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Triangle Anesthesia Group PSC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Memorial Hospital Inc. | Past | Accepting new patients | |
| Appalachian Regional Healthcare, Inc. | Past | Accepting new patients | |
| Radiology Inc | Past | Accepting new patients |
Organizations & group practices 5
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.
-
- Clinical Pathology/Laboratory Medicine Physician
- Whitesburg, KY
- NPI 1417045998
-
- Anesthesiology Physician
- Corbin, KY
- NPI 1831207067
Nurse Anesthetist, Certified Registered
-
- Rural Health Clinic/Center
- Manchester, KY
- NPI 1255471827
-
- Anesthesiology Physician
- Hazard, KY
- NPI 1124079314
Nurse Anesthetist, Certified Registered
-
- Diagnostic Radiology Physician
- Huntington, WV
- NPI 1457339277
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139961600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1720052897",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "740 E LAUREL RD",
"city": "LONDON",
"state": "KY",
"postal_code": "407418601",
"telephone_number": "606-877-3931",
"fax_number": "606-877-3978"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "310 E 9TH ST",
"city": "LONDON",
"state": "KY",
"postal_code": "407411204",
"telephone_number": "606-878-6520",
"fax_number": "606-877-3978"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MINGA",
"first_name": "DAVID",
"middle_name": "E",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "KY",
"license": "1953A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CUMBERLAND HEALTHCARE INC",
"identifier": "C20887",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RRMCR",
"identifier": "P00335909",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "74422999",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM PROVIDER #",
"identifier": "000000378007",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PASSPORT HEALTH PLAN",
"identifier": "50005621",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in London, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.