Individual provider Active NPI

Jack W Finch, M.D.

  • Family Medicine Physician
  • Redding, CA
National Provider Identifier
1629168091
Registry record updated Oct 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G683770 Issued in CA
Practice address
2888 Eureka Way Ste 201
Redding, CA 96001-0210
Phone
(530) 223-7444
Fax
(530) 223-7449
NPI assigned
Oct 13, 2006
Last updated
Oct 16, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2013

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 G683770 CA Primary

Addresses

Primary practice location

2888 Eureka Way Ste 201
Redding, CA 96001-0210

Mailing address

2888 Eureka Way Ste 201
Redding, CA 96001-0210
Phone (530) 223-7444

Other identifiers 1

IdentifierTypeStateIssuer
00G683770MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20071024000527 CA Practitioner - Family Practice 3971563024 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Medical College of Wisconsin, 1987
Medicare assignment
May accept Medicare assignment
Group practices
Jack W Finch M D IncGroup PAC ID 7719947852, 2 clinicians

Practice addresses (Care Compare)

2888 Eureka Way
Suite 201
Redding, CA 96001-0210
Phone (530) 223-7444

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
25.53 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
85.08

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions37
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G683770CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jack W Finch M.D. Inc Family Medicine CurrentSince Jan 1, 1999 Accepting new patients

Locations

1355 East St
Ste 200
Redding, CA 96001
Phone (530) 229-2940

1970 Hartnell Ave
Redding, CA 96002
Phone (530) 223-2224

2701 Old Eureka Way
Ste 1E
Redding, CA 96001
Phone (530) 232-3000

2888 Eureka Way
Ste 201
Redding, CA 96001
Phone (530) 223-7444

Organizations & group practices 1

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 4

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

NPI Registry JSON

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1381881600000",
    "number": "1629168091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2888 EUREKA WAY STE 201",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960010210",
            "telephone_number": "530-223-7444",
            "fax_number": "530-223-7449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2888 EUREKA WAY STE 201",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960010210",
            "telephone_number": "530-223-7444",
            "fax_number": "530-223-7449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FINCH",
        "first_name": "JACK",
        "middle_name": "W",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-13",
        "last_updated": "2013-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G683770",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G683770",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Redding, CA

Sources for this page

Verify at the official NPI Registry.