Stanley L Minken, MD

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

License

D0011937 Issued in MD

Practice address

724 Maiden Choice LN
#203
Baltimore, MD 21228-5917

Phone

(410) 455-0200

Fax

(410) 455-0009

NPI assigned

Mar 10, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Maiden Choice Cardiac Diagnostic Center

  • Cardiovascular Disease Physician
  • Baltimore, MD
  • NPI 1366491557
  NPD (past)

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

{
    "created_epoch": "1141948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376956800000",
    "number": "1881662237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "724 MAIDEN CHOICE LN",
            "address_2": "#203",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212285917",
            "telephone_number": "410-455-0200",
            "fax_number": "410-455-0009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "724 MAIDEN CHOICE LN",
            "address_2": "#203",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212285917",
            "telephone_number": "410-455-0200",
            "fax_number": "410-455-0009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINKEN",
        "first_name": "STANLEY",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-10",
        "last_updated": "2013-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "MD",
            "license": "D0011937",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "770002997",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maria M Minichiello, PT
• Joseph A Mininni, MD
• Michael Joseph Mininsohn, M.D.
• Ana Minisci, SLP
• Angela Nichelle Minix, LCSW-C
• Helen Minkin, OTR/L
• Samuel Minkove, M.D.
• Cynthia Schaffer Minkovitz, M.D.
• Hmu Minn, M.D.
• Tamara Minnick

• Vascular Surgery Physician in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Vascular Surgery Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.