Individual provider Active NPI

Mark R Minor, M.D.

  • Family Medicine Physician
  • Huntingdon, PA
National Provider Identifier
1720130107
Registry record updated Apr 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD044701L Issued in PA
Practice address
820 Bryan St
Suite 3
Huntingdon, PA 16652-2409
Phone
(814) 643-8474
Fax
(814) 643-8477
NPI assigned
Jan 17, 2007
Last updated
Apr 6, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD044701L PA Primary

Addresses

Primary practice location

820 Bryan St
Suite 3
Huntingdon, PA 16652-2409

Mailing address

820 Bryan St
Suite 3
Huntingdon, PA 16652-2409
Phone (814) 643-8474

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
I20040428001237 PA Practitioner - Family Practice 3577550888 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gates Physician Services LLCGroup PAC ID 4587003884, 5 clinicians

Practice addresses (Care Compare)

2525 9TH Ave
Suite 2B
Altoona, PA 16602-2014
Phone (814) 329-6558

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
J C Blair Medical Services Inc Family Medicine CurrentSince Jul 1, 2006 Accepting new patients
Dubois Regional Medical Center Family Medicine Past Accepting new patients
Windber Hospital, Inc. Past Accepting new patients

Locations

4133 Medical Center Dr
Broad Top, PA 16621
Phone (814) 506-8463

478 Seminary St
Cassville, PA 16623
Phone (814) 448-9226

1225 Warm Springs Ave
Huntingdon, PA 16652
Phone (814) 643-8206

1227 Warm Springs Ave
Ste 302
Huntingdon, PA 16652
Phone (814) 643-0837

7651 Lake Raystown Shopping Ctr
Huntingdon, PA 16652
Phone (814) 643-8485

790 Bryan St
Huntingdon, PA 16652
Phone (814) 643-8300

790 Bryan St
#2
Huntingdon, PA 16652
Phone (814) 506-8114

820 Bryan St
Ste 1
Huntingdon, PA 16652
Phone (814) 643-1141

820 Bryan St
Ste 3
Huntingdon, PA 16652
Phone (814) 643-4876

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Penn Highlands HuntingdonHuntingdon, PA, CCN 39U056 Hospital Corporate Officer Jul 1, 2022

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302048000000",
    "number": "1720130107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 BRYAN ST",
            "address_2": "SUITE 3",
            "city": "HUNTINGDON",
            "state": "PA",
            "postal_code": "166522409",
            "telephone_number": "814-643-8474",
            "fax_number": "814-643-8477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 BRYAN ST",
            "address_2": "SUITE 3",
            "city": "HUNTINGDON",
            "state": "PA",
            "postal_code": "166522409",
            "telephone_number": "814-643-8474",
            "fax_number": "814-643-8477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINOR",
        "first_name": "MARK",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-17",
        "last_updated": "2011-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD044701L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntingdon, PA

Sources for this page

Verify at the official NPI Registry.