Active NPI
Herbert Paul Minch Jr., MS, ATC, EMT-P
- Athletic Trainer
- West Liberty, WV
National Provider Identifier
1922377209
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- AT001134
- Practice address
- 101 Faculty Drive
CSC 103
West Liberty, WV 26074 - Phone
- (304) 336-8476
- Fax
- (304) 336-5139
- NPI assigned
- Dec 15, 2011
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | AT001134 | WV | Primary |
Addresses
Primary practice location
101 Faculty Drive
CSC 103
West Liberty, WV 26074
Mailing address
101 Faculty Drive
CSC 103
West Liberty, WV 26074
Phone (304) 336-8476
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)
- Not enrolled
- Credentials
- Emergency Medical Technician - Paramedic, Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AT001134 | WV | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1323907200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1323907200000",
"number": "1922377209",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 FACULTY DRIVE",
"address_2": "CSC 103",
"city": "WEST LIBERTY",
"state": "WV",
"postal_code": "26074",
"telephone_number": "304-336-8476",
"fax_number": "304-336-5139"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 FACULTY DRIVE",
"address_2": "CSC 103",
"city": "WEST LIBERTY",
"state": "WV",
"postal_code": "26074",
"telephone_number": "304-336-8476",
"fax_number": "304-336-5139"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MINCH",
"first_name": "HERBERT",
"middle_name": "PAUL",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "MS, ATC, EMT-P",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-12-15",
"last_updated": "2011-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "WV",
"license": "AT001134",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Liberty, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.