Active NPI
Ronald Dean Mings, M.D.
- Allergy Physician
- Carbondale, IL
National Provider Identifier
1922107879
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy Physician
- License
- 036-050797
- Practice address
- 1001 E Main St
2A Ppe
Carbondale, IL 62901-3100 - Phone
- (618) 549-9385
- Fax
- (618) 549-8795
- NPI assigned
- Sep 21, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy Physician | 207KA0200X | 036-050797 | IL | Primary |
Addresses
Primary practice location
1001 E Main St
2A Ppe
Carbondale, IL 62901-3100
Mailing address
PO Box 1105
Indianapolis, IN 46206-1105
Phone (618) 549-9385
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 027533 | Other | IL | HEALTH ALLIANCE |
| 101269 | Other | IL | HEALTHLINK |
| 03927935 | Other | IL | BLUE CROSS/ BLU SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-050797 | IL | MD | Allergy Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1419292800000",
"number": "1922107879",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1105",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462061105",
"telephone_number": "618-549-9385",
"fax_number": "618-549-8795"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 E MAIN ST",
"address_2": "2A PPE",
"city": "CARBONDALE",
"state": "IL",
"postal_code": "629013100",
"telephone_number": "618-549-9385",
"fax_number": "618-549-8795"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MINGS",
"first_name": "RONALD",
"middle_name": "DEAN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-21",
"last_updated": "2014-12-23",
"status": "A"
},
"taxonomies": [
{
"code": "207KA0200X",
"taxonomy_group": "",
"desc": "Allergy & Immunology, Allergy",
"state": "IL",
"license": "036-050797",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH ALLIANCE",
"identifier": "027533",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHLINK",
"identifier": "101269",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/ BLU SHIELD",
"identifier": "03927935",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Carbondale, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.