Organization Active NPI

Sheldon E. Gingerich, MD, PC

  • Pain Medicine Physician
  • Tucson, AZ
National Provider Identifier
1831491703
Registry record updated Nov 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
License
14436 Issued in AZ
Legal business name
SHELDON E. GINGERICH, MD, PC
Practice address
2902 E Grant Rd
Tucson, AZ 85716-2742
Phone
(520) 322-8440
Fax
(520) 322-8462
NPI assigned
Nov 29, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2010

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

Authorized official

Name
Janet Ann Starke
Title
Credentialing Coordinator
Phone
(520) 545-1765

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208VP0000X 14436 AZ Primary

Addresses

Primary practice location

2902 E Grant Rd
Tucson, AZ 85716-2742

Mailing address

2902 E Grant Rd
Tucson, AZ 85716-2742
Phone (520) 322-8440

Other identifiers 1

IdentifierTypeStateIssuer
25566303MedicaidAZ

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1290988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290988800000",
    "number": "1831491703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2902 E GRANT RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857162742",
            "telephone_number": "520-322-8440",
            "fax_number": "520-322-8462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2902 E GRANT RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857162742",
            "telephone_number": "520-322-8440",
            "fax_number": "520-322-8462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHELDON E. GINGERICH, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-29",
        "last_updated": "2010-11-29",
        "status": "A",
        "authorized_official_last_name": "STARKE",
        "authorized_official_first_name": "JANET",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "520-545-1765"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "AZ",
            "license": "14436",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "25566303",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.