NPIMap

Organization Active NPI

Mingo Family Practice

  • Family Nurse Practitioner
  • Mingo Junction, OH
National Provider Identifier
1902297112
Registry record updated Feb 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
COA.16767-NP Issued in OH
Legal business name
MINGO FAMILY PRACTICE
Practice address
116 McLister Ave
Suite B
Mingo Junction, OH 43938-1259
Phone
(740) 535-8025
Fax
(740) 535-8079
NPI assigned
Feb 10, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2015

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

Authorized official

Name
Dr. Melissa Louise Vostatek, PHARMD
Title
Owner
Phone
(740) 535-8025

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X COA.16767-NP OH Primary

Addresses

Primary practice location

116 McLister Ave
Suite B
Mingo Junction, OH 43938-1259

Mailing address

116 McLister Ave
Suite B
Mingo Junction, OH 43938-1259
Phone (740) 535-8025

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1423526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423526400000",
    "number": "1902297112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 MCLISTER AVE",
            "address_2": "SUITE B",
            "city": "MINGO JUNCTION",
            "state": "OH",
            "postal_code": "439381259",
            "telephone_number": "740-535-8025",
            "fax_number": "740-535-8079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 MCLISTER AVE",
            "address_2": "SUITE B",
            "city": "MINGO JUNCTION",
            "state": "OH",
            "postal_code": "439381259",
            "telephone_number": "740-535-8025",
            "fax_number": "740-535-8079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINGO FAMILY PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-10",
        "last_updated": "2015-02-10",
        "status": "A",
        "authorized_official_last_name": "VOSTATEK",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "LOUISE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "740-535-8025",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "COA.16767-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mingo Junction, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2015; 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.