Jack W Finch M.D. Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

JACK W FINCH M.D. INC

Practice address

2888 Eureka Way Ste 201
Redding, CA 96001-0210

Phone

(530) 223-7444

Fax

(530) 223-7449

NPI assigned

Oct 13, 2006

Organization subpart

No

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

Authorized official

Name

Jack W Finch, M.D.NPI 1629168091

Title

President

Phone

(530) 223-7444

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• SHASTA FAMILY PRACTICE MEDICAL GROUP Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jack W Finch, M.D.

  • Family Medicine Physician
  • Redding, CA
  • NPI 1629168091
  Medicare reassignment Care Compare group NPD Authorized official
• Sheila Mary Finch, MD

  • Family Medicine Physician
  • Redding, CA
  • NPI 1811061591
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381968000000",
    "number": "1700976172",
    "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": {
        "organization_name": "JACK W FINCH M.D. INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-13",
        "last_updated": "2013-10-17",
        "status": "A",
        "authorized_official_last_name": "FINCH",
        "authorized_official_first_name": "JACK",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "530-223-7444",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G683770",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SHASTA FAMILY PRACTICE MEDICAL GROUP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• J. David Moody, DDS, a Professional Dental Corporation
• Adeline Jackson, LMFT
• Dana Elizabeth Jackson, AMFT
• James Fred Jackson
• Keith Allen Jackson
• Natalie R Jackson, D.P.T.

• Family Medicine Physician in Redding, CA
• Providers in Redding, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.