Organization Active NPI

Gregory L. Ingle, D.O., P.C

  • Family Medicine Physician
  • Prairie City, IA
National Provider Identifier
1124015037
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
GREGORY L. INGLE, D.O., P.C
Practice address
100 E Jefferson St.
Prairie City, IA 50228
Phone
(515) 994-2617
Fax
(515) 994-2365
NPI assigned
Oct 5, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Gregory Lee Ingle, D.O.
Title
President
Phone
(515) 994-2617

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

100 E Jefferson St.
Prairie City, IA 50228

Mailing address

PO Box 430
Prairie City, IA 50228-0430
Phone (515) 994-2617

Other identifiers 1

IdentifierTypeStateIssuer
0283655MedicaidIA

Other names 1

  • Prairie City Family Clinic Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1128470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1124015037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 430",
            "city": "PRAIRIE CITY",
            "state": "IA",
            "postal_code": "502280430",
            "telephone_number": "515-994-2617",
            "fax_number": "515-994-2365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E JEFFERSON ST.",
            "city": "PRAIRIE CITY",
            "state": "IA",
            "postal_code": "50228",
            "telephone_number": "515-994-2617",
            "fax_number": "515-994-2365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREGORY L. INGLE, D.O., P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "INGLE",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "515-994-2617",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0283655",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prairie City Family Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Prairie City, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.