Mark R Minor, M.D.

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

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

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

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)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

All facility ownership & control disclosures 1

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

Owned or controlled facilities with NPI records 2

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

• J C Blair Memorial Hospital

  • Family Medicine Physician
  • Cassville, PA
  • NPI 1013622653

  Corporate Officer

  CMS ownership
• J C Blair Memorial Hospital

  • Medicare Defined Swing Bed Hospital Unit
  • Huntingdon, PA
  • NPI 1265651764

  Corporate Officer

  CMS ownership

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.

• Gates Physician Services LLC

  • Internal Medicine Physician
  • Altoona, PA
  • NPI 1427742238
  Medicare reassignment Care Compare group
• J C Blair Medical Services Inc

  • Family Medicine Physician
  • Huntingdon, PA
  • NPI 1861575938
  Medicare reassignment NPD
• Broad Top Area Medical Center Inc

  • Federally Qualified Health Center (FQHC)
  • Broad Top, PA
  • NPI 1063514453
  Medicare reassignment
• Dubois Regional Medical Center

  • General Acute Care Hospital
  • Du Bois, PA
  • NPI 1144249657
  NPD (past)
• Windber Hospital, Inc.

  • General Acute Care Hospital
  • Windber, PA
  • NPI 1275620536
  NPD (past)

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": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "251881378",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0072073720003",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "MI674735",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Crescent D Miller, PA
• Kristen Miller, M.S.W., L.S.W.
• Linda Marie Miller, LPC
• Shannon Miller, RN
• Paul Hoyt Mills, OT
• Ann Marie Montgomery, MA, CCC/SLP
• Maryanne Montoro
• Julie A Morder, LPN
• Amanda Morningstar, MASTERS DEGREE
• John William Morrison Jr., LPC

• Family Medicine Physician in Huntingdon, PA
• Providers in Huntingdon, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.