Individual provider Active NPI

Wayne Minton Sr., DPM

  • Foot & Ankle Surgery Podiatrist
  • Hermitage, PA
National Provider Identifier
1881975357
Registry record updated Aug 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
00308 Issued in WV
Practice address
102 N Keel Ridge Rd
Hermitage, PA 16148-3440
Phone
(724) 347-0591
Fax
(724) 347-4901
NPI assigned
Aug 29, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 29, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 00308 WV Primary

Addresses

Primary practice location

102 N Keel Ridge Rd
Hermitage, PA 16148-3440

Mailing address

102 N Keel Ridge Rd
Hermitage, PA 16148-3440
Phone (724) 347-0591

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111003000072 WV Practitioner - Podiatry 8628240371 Reassigns benefits to 1 organization
Practice locations: West Columbia, WV

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

11522 Ohio River Rd
West Columbia, WV 25287-8520
Phone (304) 675-0860

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of nail tissue56
Removal or shaving of skin growth15

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
308WVMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Giaimo Mobile Podiatry of WV PLLC CurrentSince Sep 12, 2017 Accepting new patients
Onsight, Inc. Past Accepting new patients
Excel Eyecare, LLC Past Accepting new patients

Locations

840 Lee Rd
Follansbee, WV 26037
Phone (304) 527-1100

Interoperability endpoints

  • Direct secure messaging: wayne.minton.p17@direct.360care.nextgenshare.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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1314576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314576000000",
    "number": "1881975357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 N KEEL RIDGE RD",
            "city": "HERMITAGE",
            "state": "PA",
            "postal_code": "161483440",
            "telephone_number": "724-347-0591",
            "fax_number": "724-347-4901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 N KEEL RIDGE RD",
            "city": "HERMITAGE",
            "state": "PA",
            "postal_code": "161483440",
            "telephone_number": "724-347-0591",
            "fax_number": "724-347-4901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINTON",
        "first_name": "WAYNE",
        "name_suffix": "Sr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-08-29",
        "last_updated": "2011-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "WV",
            "license": "00308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hermitage, PA

Sources for this page

Verify at the official NPI Registry.