Individual provider Active NPI

Paul Gingrich

  • Physician Assistant
  • Alliance, OH
National Provider Identifier
1700356730
Registry record updated Sep 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
1939 W State St
Alliance, OH 44601-3522
Phone
(330) 238-4455
NPI assigned
Dec 3, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

1939 W State St
Alliance, OH 44601-3522

Mailing address

1939 W State St
Alliance, OH 44601-3522

Other practice location 1

400 Burdick Expy E
Minot, ND 58701-4768
Phone (701) 857-7817

Other practice location 2

194 Missile Road
Minot, ND 58705-5003
Phone (701) 723-5190

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240413000290 OH Practitioner - Physician Assistant 8426448150 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Nebraska College of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Urgent Care Specialists, LLCGroup PAC ID 1850311010, 81 clinicians

Practice addresses (Care Compare)

1301 W 1St St
Springfield, OH 45504-1920
Phone (937) 322-6222

1939 W State St
Alliance, OH 44601-3522
Phone (330) 238-4455

Merit-based Incentive Payment System (MIPS)

Final score
81.05 of 100Reported as group
Quality
60.57
Promoting interoperability
98
Improvement activities
40
Cost
77.93

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Hometown Urgent Care of Michigan, P.C. CurrentSince May 15, 2024 Accepting new patients
Hometown Urgent Care of Michigan, PC CurrentSince May 15, 2024 Accepting new patients
Urgent Care Specialists, LLC CurrentSince Dec 7, 2024 Accepting new patients

Locations

1939 W State St
Alliance, OH 44601
Phone (330) 238-4455

1430 Oak Ct
Ste 100
Beavercreek, OH 45430
Phone (937) 404-1101

6210 Brandt Pike
Ste 102
Huber Heights, OH 45424
Phone (937) 236-8630

6210 Brandt Pike
Huber Heights, OH 45424
Phone (937) 236-8630

1301 W 1st St
Springfield, OH 45504
Phone (937) 271-0066

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1543795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727481600000",
    "number": "1700356730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1939 W STATE ST",
            "city": "ALLIANCE",
            "state": "OH",
            "postal_code": "446013522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1939 W STATE ST",
            "city": "ALLIANCE",
            "state": "OH",
            "postal_code": "446013522",
            "telephone_number": "330-238-4455"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 Burdick Expy E",
            "address_purpose": "LOCATION",
            "city": "Minot",
            "state": "ND",
            "postal_code": "587014768",
            "country_code": "US",
            "telephone_number": "701-857-7817",
            "fax_number": "701-857-7013",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "194 Missile Road",
            "address_purpose": "LOCATION",
            "city": "Minot",
            "state": "ND",
            "postal_code": "587055003",
            "country_code": "US",
            "telephone_number": "701-723-5190",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GINGRICH",
        "first_name": "PAUL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-12-03",
        "last_updated": "2024-09-28",
        "certification_date": "2024-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alliance, OH

Sources for this page

Verify at the official NPI Registry.