Keith a. Gingerich, M.D., P.C.

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

01038826 Issued in IN

Legal business name

KEITH A. GINGERICH, M.D., P.C.

Practice address

1001 Sturdy Rd
Valparaiso, IN 46383-4126

Phone

(219) 462-7173

NPI assigned

Oct 11, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Keith Gingerich, M.D.

Title

President/Owner

Phone

(219) 462-7173

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1192060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616112000000",
    "number": "1922296185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2056",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463842056",
            "telephone_number": "219-462-7173",
            "fax_number": "219-462-7504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 STURDY RD",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463834126",
            "telephone_number": "219-462-7173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEITH A. GINGERICH, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-11",
        "last_updated": "2021-03-19",
        "certification_date": "2021-03-19",
        "status": "A",
        "authorized_official_last_name": "GINGERICH",
        "authorized_official_first_name": "KEITH",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "219-462-7173",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "IN",
            "license": "01038826",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100210000A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tamara Lynn Kay, DNP, FNP-BC
• John Emmanuel Kazonis, D.C.
• Bryttanie Keen-Ketchum
• Michael J Keenan, MD
• Breanne Elizabeth Kehoe
• Tyler Kelley
• Morgan Kelly, PTA
• Kelsey Chiropractic PC
• Jeanne Stephanie Kelsey, DC
• David R. Kenis, PH. D.

• Primary Care Clinic/Center in Valparaiso, IN
• Providers in Valparaiso, IN by specialty
• Primary Care Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2021; 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.