Active NPI
Winston C Gerig, MD
- Surgery Physician
- Goshen, IN
National Provider Identifier
1013901347
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 01037332
- Practice address
- 2006 S Main St
Suite a
Goshen, IN 46526-5232 - Phone
- (574) 535-9100
- Fax
- (574) 535-1020
- NPI assigned
- Sep 1, 2005
- 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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 01037332 | IN | Primary |
Addresses
Primary practice location
2006 S Main St
Suite a
Goshen, IN 46526-5232
Mailing address
2006 S Main St
Suite a
Goshen, IN 46526-5232
Phone (574) 535-9100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100354570 | Medicaid | IN |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | clinical@gsa.directbygreenway.com | Direct |
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 |
|---|---|---|---|
| 01037332 | IN | MD | Surgery Physician |
Networks
- devoted network organization-1baeae7e-6b6f-49f9-a562-1b2d2e55c806
- IL HMO C-SNP
- KY PPO
Interoperability endpoints
- clinical@gsa.directbygreenway.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125532800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1596499200000",
"number": "1013901347",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2006 S MAIN ST",
"address_2": "SUITE A",
"city": "GOSHEN",
"state": "IN",
"postal_code": "465265232",
"telephone_number": "574-535-9100",
"fax_number": "574-535-1020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2006 S MAIN ST",
"address_2": "SUITE A",
"city": "GOSHEN",
"state": "IN",
"postal_code": "465265232",
"telephone_number": "574-535-9100",
"fax_number": "574-535-1020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GERIG",
"first_name": "WINSTON",
"middle_name": "C",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-01",
"last_updated": "2020-08-04",
"certification_date": "2020-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "IN",
"license": "01037332",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100354570",
"state": "IN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "clinical@gsa.directbygreenway.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "2006 S Main St",
"address_2": "Suite A",
"city": "Goshen",
"state": "IN",
"country_code": "US",
"postal_code": "465265232",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Goshen, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.