Gregory Lee Ingle, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

01695 Issued in IA

Practice address

100 E. Jefferson St.
Prairie City, IA 50228-0430

Phone

(515) 994-2617

Fax

(515) 994-2365

NPI assigned

Oct 5, 2005

Last updated

Jul 21, 2022By 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

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

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.

• Colfax Medical Associates LLC

  • Family Medicine Physician
  • Colfax, IA
  • NPI 1356764294
  Authorized official Same address or phone
• Gregory L. Ingle, D.O., P.C

  dba Prairie City Family Clinic

  • Family Medicine Physician
  • Prairie City, IA
  • NPI 1124015037
  Authorized official Same address or phone

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

{
    "created_epoch": "1128470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1316934227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E. JEFFERSON STREET",
            "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": "502280430",
            "telephone_number": "515-994-2617",
            "fax_number": "515-994-2365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INGLE",
        "first_name": "GREGORY",
        "middle_name": "LEE",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-05",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "01695",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN #",
            "identifier": "560910082",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IOWA LICENSE",
            "identifier": "01695",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5151324",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• City of Prairie City
• Clearview Recovery, Inc.
• Laci Marie Ehler
• Marvin Fangman, M.A., IAADC
• Gregory L. Ingle, D.O., P.C (Prairie City Family Clinic)
• Dana Marie Jacobs, AGACNP-BC
• Alicia Klein, CADC
• PCM Community School District
• Pella Regional Health Center (Pella Regional Prairie City Pharmacy)
• Pella Regional Health Center (Prairie City Medical Clinic)

• Family Medicine Physician in Prairie City, IA
• Providers in Prairie City, IA by specialty
• Family Medicine Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.