Individual provider Active NPI

Paul C Gering Jr., MD

  • Family Medicine Physician
  • Ontario, OR
National Provider Identifier
1235198995
Registry record updated Dec 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD18808 Issued in OR
Practice address
1077 SW 3Rd Ave
Ontario, OR 97914-2125
Phone
(541) 889-0771
Fax
(541) 889-8788
NPI assigned
Mar 21, 2006
Last updated
Dec 1, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 1, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD18808 OR Primary

Addresses

Primary practice location

1077 SW 3Rd Ave
Ontario, OR 97914-2125

Mailing address

1077 SW 3Rd Ave
Ontario, OR 97914-2125
Phone (541) 889-0771

Other identifiers 2

IdentifierTypeStateIssuer
003426600MedicaidID
067590MedicaidOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040713001558 OR Practitioner - Family PracticePractitioner - Hospice/Palliative Care 4486647088 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Hospice/Palliative Care
Education
Oregon Health Sciences University School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1050 SW 3Rd Ave
Suite 1600
Ontario, OR 97914-4552
Phone (541) 881-2360

1077 SW 3Rd Ave
Ontario, OR 97914-2125
Phone (541) 889-0771

351 SW 9TH St
Ontario, OR 97914-2639
Phone (541) 881-7000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy15
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Removal of skin lesions68
Removal of nail tissue1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD18808ORMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Alphonsus Medical Center- Ontario Inc Current Accepting new patients
Apogee Medical Group PC Current Accepting new patients
Saint Alphonsus Medical Center- Ontario Inc CurrentSince Apr 1, 2010 Accepting new patients
Apogee Medical Group PC CurrentSince Feb 11, 2015 Accepting new patients
Saint Alphonsus Medical Center- Ontario Inc CurrentSince Apr 1, 2010 Accepting new patients
Apogee Medical Group PC CurrentSince Feb 11, 2015 Accepting new patients
Paul C Gering, Jr., MD Family Medicine CurrentSince Aug 23, 1996 Accepting new patients
Marc Iseri MD PC Past Accepting new patients

Locations

2111 Exchange St
Astoria, OR 97103
Phone (503) 325-4321

1111 Crater Lake Ave
Medford, OR 97504
Phone (541) 732-5250

1050 SW 3rd Ave
Ste 1600
Ontario, OR 97914
Phone (541) 881-2360

1050 SW 3rd Ave
Ste 2600
Ontario, OR 97914
Phone (541) 881-1601

1077 SW 3rd Ave
Ontario, OR 97914
Phone (541) 889-0771

351 SW 9th St
Ontario, OR 97914
Phone (541) 881-7000

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Heart 'N Home Hospice and Palliative CareFruitland, ID, CCN 131545 Hospice Contracted Managing Employee Mar 1, 2024

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 8

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.

Hospital & facility affiliations 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1142899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480550400000",
    "number": "1235198995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1077 SW 3RD AVE",
            "city": "ONTARIO",
            "state": "OR",
            "postal_code": "979142125",
            "telephone_number": "541-889-0771",
            "fax_number": "541-889-8788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1077 SW 3RD AVE",
            "city": "ONTARIO",
            "state": "OR",
            "postal_code": "979142125",
            "telephone_number": "541-889-0771",
            "fax_number": "541-889-8788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERING",
        "first_name": "PAUL",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-21",
        "last_updated": "2016-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "MD18808",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003426600",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "067590",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ontario, OR

Sources for this page

Verify at the official NPI Registry.