Organization Active NPI

Paul C Gering, Jr., MD

  • Family Medicine Physician
  • Ontario, OR
National Provider Identifier
1962698035
Registry record updated Nov 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD18808 Issued in OR
Legal business name
PAUL C GERING, JR., MD
Practice address
1077 SW 3Rd Ave
Ontario, OR 97914-2125
Phone
(541) 889-0771
Fax
(541) 889-8788
NPI assigned
Sep 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2016

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

Authorized official

Name
Dr. Paul C Gering Jr., M.D.NPI 1235198995
Title
Owner
Phone
(541) 889-0771

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X MD18808 OR Primary

Addresses

Primary practice location

1077 SW 3Rd Ave
Ontario, OR 97914-2125

Mailing address

1077 SW 3Rd Ave
Ontario, OR 97914-2125
Phone (541) 889-0771

Other identifiers 3

IdentifierTypeStateIssuer
067590MedicaidOR
003426600MedicaidID
080088293OtherRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040407001671 OR Part B Supplier - Clinic/Group Practice 2769475367 Receives reassigned benefits from 1 practitioner
Practice locations: Ontario, OR

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
38D0919604Paul C Gering Jr MD1077 SW 3Rd Avenue, Ontario, OR 97914Certificate of waiverNov 30, 2027

National Provider Directory

National Provider Directory

Locations

1077 SW 3rd Ave
Ontario, OR 97914
Phone (541) 889-0771

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1190332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480464000000",
    "number": "1962698035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1077 SW 3RD AVE",
            "city": "ONTARIO",
            "state": "OR",
            "postal_code": "979142125",
            "telephone_number": "541-889-0771",
            "fax_number": "541-889-8788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1077 SW 3RD AVE",
            "city": "ONTARIO",
            "state": "OR",
            "postal_code": "979142125",
            "telephone_number": "541-889-0771",
            "fax_number": "541-889-8788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL C GERING, JR., MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-21",
        "last_updated": "2016-11-30",
        "status": "A",
        "authorized_official_last_name": "GERING",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-889-0771",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "MD18808",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "067590",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003426600",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "080088293",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ontario, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.