RONALD MAX MINGLE PAC NPI 1881772861

NPI Information

  • NPI: 1881772861
  • Provider Name: RONALD MAX MINGLE, PAC
  • Classification: Physician Assistant - 363A00000X
  • Entity Type: Individual
  • Address: 1621 E BROOMFIELD ST
    SUITE B
    MT PLEASANT, MI
    ZIP 48858
  • Phone: (989) 772-1442

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NPI Details

Ronald Max Mingle, PAC is a physician assistant in Mt Pleasant, MI. The provider is 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. Ronald Max Mingle, PAC NPI is 1881772861. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1621 E BROOMFIELD ST
SUITE B
MT PLEASANT, MI
ZIP 48858-427
Phone: (989) 772-1442
Fax: (989) 772-0735

The enumeration date for this NPI number is 11/1/2006 and was last updated on 8/25/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363A00000XPhysician Assistant5601001143MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10853713260OTHERMICHIGANBCBSM
2B47935MEDICARE UPIN
3R65840MEDICARE UPINMICHIGAN
4P13710002MEDICARE PINMICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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