Active NPI
Gary Richard Pingrey, DO
- Family Medicine Physician
- Gig Harbor, WA
National Provider Identifier
1962487892
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 001003
- Practice address
- 4700 Point Fosdick Dr NW
#220
Gig Harbor, WA 98335-1706 - Phone
- (253) 851-5121
- Fax
- (253) 851-3059
- NPI assigned
- Dec 14, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 001003 | WA | Primary |
Addresses
Primary practice location
4700 Point Fosdick Dr NW
#220
Gig Harbor, WA 98335-1706
Mailing address
4700 Point Fosdick Dr NW
#220
Gig Harbor, WA 98335-1706
Phone (253) 851-5121
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0291717 | Other | WA | STATE L&I |
| 0291790 | Other | WA | STATE L&I |
| 8304073 | Medicaid | WA | |
| P05753 | Other | REGENCE | |
| 3111 | Other | WA | L & I |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001003 | WA | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134518400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1335225600000",
"number": "1962487892",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4700 POINT FOSDICK DR NW",
"address_2": "#220",
"city": "GIG HARBOR",
"state": "WA",
"postal_code": "983351706",
"telephone_number": "253-851-5121",
"fax_number": "253-851-3059"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4700 POINT FOSDICK DR NW",
"address_2": "#220",
"city": "GIG HARBOR",
"state": "WA",
"postal_code": "983351706",
"telephone_number": "253-851-5121",
"fax_number": "253-851-3059"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PINGREY",
"first_name": "GARY",
"middle_name": "RICHARD",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-14",
"last_updated": "2012-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WA",
"license": "001003",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE L&I",
"identifier": "0291717",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE L&I",
"identifier": "0291790",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8304073",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE",
"identifier": "P05753",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "L & I",
"identifier": "3111",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Gig Harbor, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.