Jeffrey D Gindorf PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

036-078574 Issued in IL

Legal business name

JEFFREY D GINDORF PC

Practice address

600 S Randall Rd
Algonquin, IL 60102-5935

Phone

(815) 261-4093

NPI assigned

Jul 2, 2006

Last updated

Apr 12, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jeffrey Gindorf, M.D.NPI 1275527319

Title

President

Phone

(815) 455-9231

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jeffrey Dean Gindorf, M.D.

  • Internal Medicine Physician
  • Algonquin, IL
  • NPI 1275527319
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1151798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460419200000",
    "number": "1659300473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6702 OAKWOOD MANOR DR",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600121196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 S RANDALL RD",
            "city": "ALGONQUIN",
            "state": "IL",
            "postal_code": "601025935",
            "telephone_number": "815-261-4093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY D GINDORF PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-02",
        "last_updated": "2016-04-12",
        "status": "A",
        "authorized_official_last_name": "GINDORF",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "815-455-9231",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036-078574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Burks MD SC
• Sara Anne Janiszewski, RN
• Kelsey Taylor Jannes, PT, DPT
• Craig Janowiak
• Sameena Jawed, M.D.
• Darryl Jenkins
• John R. Thodos D.D.S., LTD
• Susan Johnson
• Mallory Jones, PA-C
• Riddhi Joshi, PSYD

• Internal Medicine Physician in Algonquin, IL
• Providers in Algonquin, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.