Jacob Gingerich, DO

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

3696 Issued in TN

Practice address

120 Administration Rd
Oak Ridge, TN 37830-8822

Phone

(865) 483-7030

Fax

(865) 483-3954

NPI assigned

Mar 26, 2014

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in TN

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

Specialty

General Surgery

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Covenant Medical Group IncGroup PAC ID 2860305463, 363 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Methodist Medical Center of Oak Ridge Hospital, Oak Ridge, TN, CCN 440034
• Roane Medical Center Hospital, Harriman, TN, CCN 440031

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: gingerich.jacob@covenanthealth.cernerdirect.com

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.

• Covenant Medical Group, Inc.

  • Family Medicine Physician
  • Knoxville, TN
  • NPI 1457302010

  Surgery

  Medicare reassignment Care Compare group NPD
• Covenant Medical Group, Inc

  • Durable Medical Equipment & Medical Supplies
  • Knoxville, TN
  • NPI 1871269415
  NPD

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

• Methodist Medical Center

  • General Acute Care Hospital
  • Oak Ridge, TN
  • NPI 1700870672
  Care Compare affiliation
• Roane County Medical Center

  dba Covenant Health Roane

  • General Acute Care Hospital
  • Harriman, TN
  • NPI 1700036696
  Care Compare affiliation

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

{
    "created_epoch": "1395792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595289600000",
    "number": "1619394855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 ADMINISTRATION RD",
            "city": "OAK RIDGE",
            "state": "TN",
            "postal_code": "378308822",
            "telephone_number": "865-483-7030",
            "fax_number": "865-483-3954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 ADMINISTRATION RD",
            "city": "OAK RIDGE",
            "state": "TN",
            "postal_code": "378308822",
            "telephone_number": "865-483-7030",
            "fax_number": "865-483-3954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GINGERICH",
        "first_name": "JACOB",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-03-26",
        "last_updated": "2020-07-21",
        "certification_date": "2020-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TN",
            "license": "3696",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q049564",
            "state": "TN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Gingerich.Jacob@covenanthealth.cernerdirect.com",
            "affiliation": "N",
            "address_1": "120 Administration Rd",
            "city": "Oak Ridge",
            "state": "TN",
            "country_code": "US",
            "postal_code": "378308822",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Gerald B Calia (Advanced Family Footcare)
• Charles F Gholson, MD
• James W Giles, MD
• Lela Gilliam, PCA
• Jefferson Pierce Gillum, DO
• Girling Health Care Services of Knoxville, Inc. (Gentiva III)
• Giving Home Health Care-Tennessee, LLC (Giving Home Health Care)
• Gail Elizabeth Gnade, PH.D
• Cheryl Louise Goforth, APRN, BC
• Roger Neil Goggans, NP

• Surgery Physician in Oak Ridge, TN
• Providers in Oak Ridge, TN by specialty
• Surgery Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2020; 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.