RONALD MAX MINGLE (NPI# 1881772861) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881772861 |
| Entity Type | Individual |
| Full Name | RONALD MAX MINGLE |
| Credential | PAC |
| Practice Address |
1621 E Broomfield St Suite B Mt Pleasant MI 48858-5427 |
| Mailing Address |
Po Box 994 Alma MI 48801-0994 |
| Practice Telephone | 9897721442 |
| Practice Fax Number | 9897720735 |
| Mailing Telephone | 9894630104 |
| Mailing Fax Number | 9894630663 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2009-08-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 5601001143 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BCBSM | 0853713260 | 01 |
| Street Address |
1621 E BROOMFIELD ST SUITE B |
| City | MT PLEASANT |
| State | MI |
| Zip Code | 48858-5427 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386912152 | Midmichigan Medical Center-gratiot | Clinic/Center | 1621 E Broomfield St, Suite C, Mt Pleasant, MI 48858-5427 | 2011-12-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215535067 | Family Tree Maternity Center, LLC | Midwife | 5201 S. Mission Rd., Mt. Pleasant, MI 48858 | 2020-10-14 |
| 1942842471 | Isabella Citizens for Health, Inc. | Pharmacy | 2790 Health Parkway, Mt Pleasant, MI 48858 | 2019-10-16 |
| 1295299279 | Dalten Tyler Simnitch | Student in an Organized Health Care Education/Training Program | 3700 E Deerfield Rd, Lexington Ridge E01, Mount Pleasant, MI 48858 | 2019-01-24 |
| 1942773809 | Jordan Lynn Bell | Technician, Other | 798 S Whilteville Rd, Mount Pleasant, MI 48858 | 2019-01-03 |
| 1083183578 | Amanda Danielle Greene | Student in an Organized Health Care Education/Training Program | 1280 E. Campus Dr., Central Michigan University, Mt. Pleasant, MI 48858 | 2018-11-14 |
| 1891264388 | Emily Mccullen | Student in an Organized Health Care Education/Training Program | 1280 E Campus Drive, Central Michigan University, Mount Pleasant, MI 48858 | 2018-11-14 |
| 1174092662 | Nathaniel Lambie | Student in an Organized Health Care Education/Training Program | 1280 East Campus Drive, Central Michigan University, Mount Pleasant, MI 48858 | 2018-11-14 |
| 1386110872 | Megan Stahl | Social Worker | 301 S Crapo St Suite 100, Mt.pleasant, MI 48858 | 2018-10-23 |
| 1710461090 | Beverly Jean Medford | Custodial Care Facility | 9318 E. Pickard Rd., Mount Pleasant Mi, MI 48858 | 2018-09-21 |
| 1760976211 | Jen Carlesimo | Behavior Technician | Central Autism Treatment Center, 2520 S. University Park Drive, Building D, Mt. Pleasant, MI 48858 | 2018-06-19 |
| Find all providers in zip 48858 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497300099 | Blaire Brooks | Physician Assistant | 1509 Candlewood Dr, Mt Pleasant, SC 29464-9763 | 2019-08-09 |
| 1720556335 | Katelyn D'haene | Physician Assistant | 1280 E Campus Dr, Mt Pleasant, MI 48858-3803 | 2018-11-13 |
| 1619445228 | Kamryn Shaw | Physician Assistant | 1201 South Dr Ste 371, Mt Pleasant, MI 48858-3255 | 2018-11-13 |
| 1083182695 | Robin M Hermes | Physician Assistant | 4851 E Pickard St Ste 2100, Mt Pleasant, MI 48858-2039 | 2018-11-13 |
| 1467928614 | Lindsay Nicole Miller | Physician Assistant | 990 Lake Hunter Cir Ste 1a, Mt Pleasant, SC 29464-5426 | 2018-10-15 |
| 1073065181 | Allison Marie Lester | Physician Assistant | 745 Chatter Rd, Mt Pleasant, SC 29464-5157 | 2016-10-25 |
| 1366797375 | East Cooper Coastal Family Physicians | Physician Assistant | 1200 Two Island Court Suite E, Mt Pleasant, SC 29464 | 2012-07-16 |
| 1891072542 | Mary Allison Voight | Physician Assistant | 180 Wingo Way Ste 306, Mt Pleasant, SC 29464-1812 | 2011-11-09 |
| 1174814461 | Laura Fitzgerald Browning | Physician Assistant | 180 Wingo Way Ste 202, Mt Pleasant, SC 29464-1811 | 2011-04-21 |
| 1053648220 | Mid-michigan Neurology Center, Pllc | Physician Assistant | 4595 Jennifer Ln, Mt Pleasant, MI 48858-2064 | 2009-11-10 |
| Find all providers in MT PLEASANT | ||||
| City | MT PLEASANT |
| Zip Code | 48858 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.