Organization Active NPI

Richard E Minter MD LLC

  • Specialist
  • Worthington, OH
National Provider Identifier
1861789364
Registry record updated Jul 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
35045691 Issued in OH
Legal business name
RICHARD E MINTER MD LLC
Practice address
6649 N High St
Suite100
Worthington, OH 43085-4070
Phone
(614) 848-4820
NPI assigned
Jul 5, 2011
Last updated
Jul 5, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2011

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

Authorized official

Name
Richard MinterNPI 1609947951
Title
Sole Member
Phone
(614) 848-4820

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 35045691 OH Primary

Addresses

Primary practice location

6649 N High St
Suite100
Worthington, OH 43085-4070

Mailing address

6649 N High St
Suite100
Worthington, OH 43085-4070
Phone (614) 848-4820

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121106000307 OH Part B Supplier - Clinic/Group Practice 5395996011 Receives reassigned benefits from 1 practitioner
Practice locations: Dublin, OH

National Provider Directory

National Provider Directory

Locations

500 W Wilson Bridge Rd
Ste 10
Worthington, OH 43085
Phone (614) 721-8235

6649 N High St
Ste 100
Worthington, OH 43085
Phone (614) 848-4820

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1309824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309824000000",
    "number": "1861789364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6649 N HIGH ST",
            "address_2": "SUITE100",
            "city": "WORTHINGTON",
            "state": "OH",
            "postal_code": "430854070",
            "telephone_number": "614-848-4820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6649 N HIGH ST",
            "address_2": "SUITE100",
            "city": "WORTHINGTON",
            "state": "OH",
            "postal_code": "430854070",
            "telephone_number": "614-848-4820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD E MINTER MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-05",
        "last_updated": "2011-07-05",
        "status": "A",
        "authorized_official_last_name": "MINTER",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "614-848-4820"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "OH",
            "license": "35045691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Worthington, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.