NPIMap

Individual provider Active NPI

Molly A Minard, PA-C

  • Physician Assistant
  • Tawas City, MI
National Provider Identifier
1801887377
Registry record updated Apr 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
110 Beech St
Ste B
Tawas City, MI 48763-8314
Phone
(989) 362-1015
Fax
(989) 362-9862
NPI assigned
Nov 2, 2005
Last updated
Apr 6, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary
Orthopaedic Surgery Physician 207X00000X 5601004682 MI

Addresses

Primary practice location

110 Beech St
Ste B
Tawas City, MI 48763-8314

Mailing address

110 Beech St Ste B
Tawas City, MI 48763-8314
Phone (989) 362-9859

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mollyminard@smomsjhs.allscriptsdirect.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060104000901 MI Practitioner - Physician Assistant 9739102815 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mymichigan Medical Center TawasGroup PAC ID 9638070766, 36 clinicians

Practice addresses (Care Compare)

110 Beech St
Tawas City, MI 48763-8314
Phone (989) 362-9859

200 E M
55 M55
Tawas City, MI 48763-9237

200 Hemlock Rd
Tawas City, MI 48763-2000
Phone (989) 362-3411

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Mymichigan Medical Center Tawas CurrentSince Oct 19, 2005 Accepting new patients
Mymichigan Medical Center Tawas CurrentSince Oct 19, 2005 Accepting new patients

Locations

4000 Wellness Dr
Midland, MI 48670
Phone (844) 832-1956

110 Beech St
Ste B
Tawas City, MI 48763
Phone (989) 362-1015

200 Hemlock Rd
Tawas City, MI 48763
Phone (989) 362-3411

200 Hemlock St
Tawas City, MI 48763
Phone (989) 362-0153

Interoperability endpoints

  • Direct secure messaging: molly.minard.1@11016.direct.athenahealth.com

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

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1130889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617667200000",
    "number": "1801887377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 BEECH ST STE B",
            "city": "TAWAS CITY",
            "state": "MI",
            "postal_code": "487638314",
            "telephone_number": "989-362-9859",
            "fax_number": "989-362-9862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 BEECH ST",
            "address_2": "STE B",
            "city": "TAWAS CITY",
            "state": "MI",
            "postal_code": "487638314",
            "telephone_number": "989-362-1015",
            "fax_number": "989-362-9862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINARD",
        "first_name": "MOLLY",
        "middle_name": "A",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-02",
        "last_updated": "2021-04-06",
        "certification_date": "2021-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MI",
            "license": "5601004682",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mollyminard@smomsjhs.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "110 Beech St",
            "address_2": "Ste B",
            "city": "Tawas City",
            "state": "MI",
            "country_code": "US",
            "postal_code": "487638314",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tawas City, MI

Sources for this page

Verify at the official NPI Registry.