Individual provider Active NPI

Winston C Gerig, MD

  • Surgery Physician
  • Goshen, IN
National Provider Identifier
1013901347
Registry record updated Aug 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
01037332 Issued in IN
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

Updated by the provider on Aug 4, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
100354570MedicaidIN

Electronic endpoints 1

TypeEndpointUseAffiliation
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

LicenseStateTypeSpecialty
01037332INMDSurgery Physician

Networks

  • devoted network organization-1baeae7e-6b6f-49f9-a562-1b2d2e55c806
  • IL HMO C-SNP
  • KY PPO

Interoperability endpoints

  • Direct secure messaging: 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.

Verify at the official NPI Registry.