Active NPI
Gingras Sleep Medicine PA
- Pediatric Sleep Medicine Physician
- Charlotte, NC
National Provider Identifier
1801109590
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Sleep Medicine Physician
- Legal business name
- GINGRAS SLEEP MEDICINE PA
- Practice address
- 6207 Park South Dr
Suite 101
Charlotte, NC 28210-3267 - Phone
- (704) 944-0562
- Fax
- (704) 944-0563
- NPI assigned
- Jul 22, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jeannine Louise Gingras, MD
- Title
- Owner
- Phone
- (704) 944-0562
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Sleep Medicine Physician | 2080S0012X | Primary |
Addresses
Primary practice location
6207 Park South Dr
Suite 101
Charlotte, NC 28210-3267
Mailing address
6207 Park South Dr
Suite 101
Charlotte, NC 28210-3267
Phone (704) 944-0562
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 023N8 | Other | NC | BCBS |
| NPB395 | Medicaid | SC | |
| DR3092 | Other | NC | RAILROAD MEDICARE |
| 5915209 | Medicaid | NC |
National Provider Directory
National Provider DirectoryLocations
6207 Park South Dr
Ste 101
Charlotte, NC 28210
Phone (704) 944-0562
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1279756800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1313020800000",
"number": "1801109590",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6207 PARK SOUTH DR",
"address_2": "SUITE 101",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282103267",
"telephone_number": "704-944-0562",
"fax_number": "704-944-0563"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6207 PARK SOUTH DR",
"address_2": "SUITE 101",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282103267",
"telephone_number": "704-944-0562",
"fax_number": "704-944-0563"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GINGRAS SLEEP MEDICINE PA",
"organizational_subpart": "NO",
"enumeration_date": "2010-07-22",
"last_updated": "2011-08-11",
"status": "A",
"authorized_official_last_name": "GINGRAS",
"authorized_official_first_name": "JEANNINE",
"authorized_official_middle_name": "LOUISE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "704-944-0562",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2080S0012X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics, Sleep Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "023N8",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "NPB395",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "DR3092",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5915209",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.