Active NPI
Paul C Gering, Jr., MD
- Family Medicine Physician
- Ontario, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD18808
- 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
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.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 067590 | Medicaid | OR | |
| 003426600 | Medicaid | ID | |
| 080088293 | Other | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 38D0919604 | Paul C Gering Jr MD | Certificate of waiver | Nov 30, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Family Medicine Physician
- Ontario, OR
- NPI 1235198995
-
- Specialist
- Ontario, OR
- NPI 1417909599
-
- Physician Assistant
- Fort Carson, CO
- NPI 1902857725
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.