Individual provider Active NPI

Jeffrey A Ming, D.O.

  • Emergency Medicine Physician
  • Dallas, TX
National Provider Identifier
1992859672
Registry record updated Nov 1, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
12604 Issued in MS
Practice address
17304 Preston Rd
Suite 555
Dallas, TX 75252-5618
Phone
(866) 931-8882
Fax
(972) 934-3174
NPI assigned
Jan 22, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 1, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 12604 MS Primary

Addresses

Primary practice location

17304 Preston Rd
Suite 555
Dallas, TX 75252-5618

Mailing address

17304 Preston Rd
Suite 555
Dallas, TX 75252-5618
Phone (866) 931-8882

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040914000540 MS Practitioner - Emergency Medicine 7810964376 Reassigns benefits to 5 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
12604MSMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Clay County Medical Corporation CurrentSince Apr 4, 2010 Accepting new patients
South Sunflower County Hospital Current Accepting new patients
Delta Medical Group Emergency Medicine CurrentSince Dec 1, 2014 Accepting new patients
Clay County Medical Corporation CurrentSince Apr 4, 2010 Accepting new patients
Clay County Medical Corporation Current Accepting new patients
South Sunflower County Hospital CurrentSince Oct 1, 2014 Accepting new patients
South Sunflower County Hospital CurrentSince Oct 1, 2014 Accepting new patients
Magee Benevolent Association Current Accepting new patients
Keystone Medical Services of Ms, Inc Emergency Medicine CurrentSince Nov 1, 2015 Accepting new patients
South Sunflower County Hospital Current Accepting new patients
Emcare Physician Providers, Inc. Emergency Medicine Past Accepting new patients
Deep South Emergency Physicians LLC Emergency Medicine Past Accepting new patients
Montfort Jones Memorial Hospital Past Accepting new patients
Delta Physician Practices Past Accepting new patients
United Emergency Services, Inc. Emergency Medicine Past Accepting new patients
Edward Kofi Lartevi MD PMC Emergency Medicine Past Accepting new patients
Tishomingo Health Services, Inc. Past Accepting new patients

Locations

901 E Sunflower Rd
Cleveland, MS 38732
Phone (662) 846-0061

1560 Sumrall Rd
Columbia, MS 39429
Phone (601) 736-6303

70 Medical Plz
Eupora, MS 39744
Phone (662) 258-6221

300 S Washington Ave
Greenville, MS 38701
Phone (662) 378-2020

1400 E Union St
Greenville, MS 38703
Phone (601) 427-0422

1693 Fairgrounds Rd
Greenville, MS 38703
Phone (662) 378-3783

121 E Baker St
Indianola, MS 38751
Phone (601) 887-3113

300 SE 3rd Ave
Magee, MS 39111
Phone (601) 849-5070

1102 Rose St
Prentiss, MS 39474
Phone (601) 792-2947

100 Hospital Dr
Tylertown, MS 39667
Phone (601) 876-0455

150 Medical Center Dr
West Point, MS 39773
Phone (601) 494-2321

Organizations & group practices 17

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.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193875200000",
    "number": "1992859672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17304 PRESTON RD",
            "address_2": "SUITE 555",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752525618",
            "telephone_number": "866-931-8882",
            "fax_number": "972-934-3174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17304 PRESTON RD",
            "address_2": "SUITE 555",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752525618",
            "telephone_number": "866-931-8882",
            "fax_number": "972-934-3174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MING",
        "first_name": "JEFFREY",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-22",
        "last_updated": "2007-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MS",
            "license": "12604",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.