Gregory Alan Falk, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

DO13695 Issued in OR

Practice address

115 SW Pine
Canyonville, OR 97417-0198

Phone

(541) 839-4211

Fax

(541) 839-4858

NPI assigned

Jan 5, 2007

Last updated

May 5, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Homewood Senior Living, LLC

  dba Richmond Heights Place - A Continuum of Care Community

  • Skilled Nursing Facility
  • Richmond Heights, OH
  • NPI 1679122147
  NPD (past)
• Price Road Senior Living, LLC

  dba North Chandler Place - A Continuum of Care Community

  • Skilled Nursing Facility
  • Chandler, AZ
  • NPI 1316596885
  NPD (past)
• Trinity Manor Opco LLC

  dba Trinity Manor

  • Skilled Nursing Facility
  • Dodge City, KS
  • NPI 1497019749
  NPD (past)

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462406400000",
    "number": "1144377433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 888",
            "city": "CANYONVILLE",
            "state": "OR",
            "postal_code": "974170888",
            "telephone_number": "541-839-4211",
            "fax_number": "541-839-4983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 SW PINE",
            "city": "CANYONVILLE",
            "state": "OR",
            "postal_code": "974170198",
            "telephone_number": "541-839-4211",
            "fax_number": "541-839-4858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FALK",
        "first_name": "GREGORY",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-05",
        "last_updated": "2016-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "DO13695",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "284208",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cow Creek Health & Wellness Annex
• Donato and Wood Consulting Inc (Riverside Physical Therapy)
• Donato and Wood Consulting, Inc (Riverside Physical Therapy)
• Dr Anna LLC (Canyonville Health and Urgent Care)
• Falk Family Medicine, LLC
• Forest Glen
• Jon Douglas Gambill, PA-C
• Gordons Pharmacy & Gifts LLC (Gordon's Pharmacy and Gifts)
• Nicole April Johnston, DEM
• Reanna Marie Meisner

• Family Medicine Physician in Canyonville, OR
• Providers in Canyonville, OR by specialty
• Family Medicine Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2016; 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.