Active NPI
Gregory P Hawker, M.D.
- Family Medicine Physician
- Jackson, OH
National Provider Identifier
1669406179
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 35050401
- Practice address
- 500 Burlington Rd
Jackson, OH 45640-9360 - Phone
- (740) 395-8393
- Fax
- (740) 395-8592
- NPI assigned
- Jul 10, 2006
- Last updated
- Aug 7, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 35050401 | OH | Primary |
Addresses
Primary practice location
500 Burlington Rd
Jackson, OH 45640-9360
Mailing address
90 Jackson Pike
Gallipolis, OH 45631-1560
Phone (740) 395-8393
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000261559 | Other | OH | ANTHEM (BLUE CROSS) |
| 2027069 | Medicaid | OH | |
| 310917085306 | Other | OH | CARESOURCE |
| 3810014399 | Medicaid | WV | |
| 4038720 | Other | OH | AETNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35050401 | OH | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Jackson | Current | Accepting new patients |
Locations
200 E Main St
Jackson, OH 45640
Phone (614) 286-5094
Interoperability endpoints
- gregory.hawker.1@26894.direct.athenahealth.com
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.
-
dba Jackson County Health Department
- Public Health or Welfare Agency
- Jackson, OH
- NPI 1356466098
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1407369600000",
"number": "1669406179",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "90 JACKSON PIKE",
"city": "GALLIPOLIS",
"state": "OH",
"postal_code": "456311560",
"telephone_number": "740-395-8393",
"fax_number": "740-395-8592"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 BURLINGTON RD",
"city": "JACKSON",
"state": "OH",
"postal_code": "456409360",
"telephone_number": "740-395-8393",
"fax_number": "740-395-8592"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAWKER",
"first_name": "GREGORY",
"middle_name": "P",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-10",
"last_updated": "2014-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OH",
"license": "35050401",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM (BLUE CROSS)",
"identifier": "000000261559",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2027069",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CARESOURCE",
"identifier": "310917085306",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3810014399",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4038720",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jackson, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2014; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.