Ethan William Gingras, NURSE PRACTITIONER

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP137475 Issued in TX

Practice address

39769 I-20
Dallas, TX 75237

Phone

(972) 780-0802

NPI assigned

Jun 4, 2018

Last updated

Mar 31, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Citydoc Urgent Care Center 3 ,PLLCGroup PAC ID 3072762475, 16 clinicians

City Doc Uptown Urgent Care Center PLLCGroup PAC ID 8729243274, 15 clinicians

Citydoc Urgent Care Center 2, PLLCGroup PAC ID 9638354103, 20 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• City Doc Uptown Urgent Care Center, PLLC

  • Urgent Care Clinic/Center
  • Dallas, TX
  • NPI 1679686349
  Medicare reassignment Care Compare group NPD
• Citydoc Urgent Care Center 2, PLLC

  • Urgent Care Clinic/Center
  • Dallas, TX
  • NPI 1003044942
  Medicare reassignment Care Compare group NPD
• Citydoc Urgent Care Center 3, PLLC

  • Urgent Care Clinic/Center
  • Dallas, TX
  • NPI 1619237401
  Medicare reassignment Care Compare group NPD
• CD Urgent Care Center 5, PLLC

  • Urgent Care Clinic/Center
  • Fort Worth, TX
  • NPI 1407224850
  Medicare reassignment NPD
• Century Integrated Partners, Inc

  • Emergency Medicine Physician
  • Dallas, TX
  • NPI 1447615711
  Medicare reassignment NPD
• Integrative Emergency Services Physician Group PA

  • Emergency Medicine Physician
  • Fort Worth, TX
  • NPI 1285922542
  Medicare reassignment NPD
• Interventional Spine & Pain, LLP

  • Durable Medical Equipment & Medical Supplies
  • Dallas, TX
  • NPI 1427571355
  NPD (past)
• Paul Phillips III, M.D., P.a.

  dba Phillips Orthopedic Associates

  • Orthopaedic Surgery Physician
  • Fredericksburg, TX
  • NPI 1477045151
  NPD (past)
• Primary Health Physicians, PLLC

  • Urgent Care Clinic/Center
  • Denton, TX
  • NPI 1770048704
  NPD (past)
• Reclaim Physicians Medical Group Inc

  • Family Medicine Physician
  • Grapevine, TX
  • NPI 1811418023
  NPD (past)
• Texan Urgent Care PLLC

  dba FastMed Urgent Care

  • Emergency Medicine Physician
  • Scottsdale, AZ
  • NPI 1346545209
  NPD (past)

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

{
    "created_epoch": "1528070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680220800000",
    "number": "1225520455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "798 DEVERSON DR",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750877172",
            "telephone_number": "469-396-3360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39769 I-20",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75237",
            "telephone_number": "972-780-0802"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3090 N Goliad St",
            "address_purpose": "LOCATION",
            "city": "Rockwall",
            "state": "TX",
            "postal_code": "750877007",
            "country_code": "US",
            "telephone_number": "972-722-0011",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GINGRAS",
        "first_name": "ETHAN",
        "middle_name": "WILLIAM",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-04",
        "last_updated": "2023-03-31",
        "certification_date": "2023-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP137475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maurizze Ann Malabanan Gimotea, RN
• Nora Esther Gimpel, MD
• Elliot J Ginchansky, M.D.
• Katie Kates Ginder, NP
• Leslie Ann Ginger, LPC
• Kevin Gingrich, M.D.
• Ryan Giniel, DC
• Precious Ginigeme
• Mahija Ginjupalli
• Lonnie James Ginn, PAC

• Family Nurse Practitioner in Dallas, TX
• Providers in Dallas, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.