GRETCHEN GINDER (NPI# 1124673256) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124673256 |
| Entity Type | Individual |
| Full Name | GRETCHEN GINDER |
| Practice Address |
101 Industry Rd Bridgeport IL 62417-2442 |
| Mailing Address |
800 E Locust St Olney IL 62450-2553 |
| Practice Telephone | 6183957340 |
| Mailing Telephone | 6183957340 |
| Enumeration Date | 2019-08-06 |
| Last Update Date | 2019-08-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 209019732 | IL | Allopathic & Osteopathic Physicians |
| Street Address |
101 INDUSTRY RD |
| City | BRIDGEPORT |
| State | IL |
| Zip Code | 62417-2442 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760973424 | Amelia L Pauley | Registered Nurse | 101 Industry Rd, Bridgeport, IL 62417-2442 | 2018-05-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740375229 | Red Hill Cu School Dist 10 | Local Education Agency (LEA) | 1250 Judy Ave, Bridgeport, IL 62417 | 2006-10-03 |
| 1922514082 | Tricia Rae Inyart | Speech-Language Pathologist | 1300 N Main St, Bridgeport, IL 62417-1300 | 2017-12-26 |
| 1346243672 | Ernest & Susan L Roales | Pharmacy | 208 N Main St, Bridgeport, IL 62417-1522 | 2005-05-31 |
| 1053810390 | Ernest Paul Roales | Pharmacist | 208 N Main St, Bridgeport, IL 62417-1522 | 2018-02-01 |
| 1871677005 | Albert W Lewis | Ambulance | 1305 Ash St, Bridgeport, IL 62417-1707 | 2006-10-24 |
| 1144643354 | Aperion Care Bridgeport LLC | Durable Medical Equipment & Medical Supplies | 900 Corporation St, Bridgeport, IL 62417-2206 | 2014-01-23 |
| 1184613515 | Lawrence Community Healthcare Center Inc | Skilled Nursing Facility | 900 Corporation Line St, Bridgeport, IL 62417-2206 | 2005-10-18 |
| 1760033492 | Aperion Care Bridgeport LLC | Durable Medical Equipment & Medical Supplies | 900 Corporation St, Bridgeport, IL 62417-2206 | 2019-09-24 |
| 1366694317 | Lawrence Community Healthcare Center | Durable Medical Equipment & Medical Supplies | 900 Corporation Line St, Bridgeport, IL 62417-2206 | 2008-10-21 |
| 1801048855 | Lawrence Community Healthcare | Private Vehicle | 900 Corporation Line St, Bridgeport, IL 62417-2206 | 2008-10-21 |
| Find all providers in zip 62417 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780158287 | Rejuvenation Medspa | Family Medicine | 1400 Johnson Ave Ste 4a, Bridgeport, WV 26330-1063 | 2019-01-17 |
| 1497244321 | Sanitas of Connecticut LLC | Family Medicine | 4551 Main St, Bridgeport, CT 06606-1818 | 2018-05-07 |
| 1023471299 | Qmg4, LLC | Family Medicine | 4200 Main Street, Bridgeport, CT 06606 | 2016-04-04 |
| 1013395755 | Clinisanitas, PC | Family Medicine | 4543 Main St, Bridgeport, CT 06606-1818 | 2015-05-14 |
| 1982941431 | Razia Sultana Hashmi | Family Medicine | 115 Highland Ave, Bridgeport, CT 06604-3549 | 2013-01-03 |
| 1508025594 | Awais Malik | Family Medicine | 754 Clinton Ave, Bridgeport, CT 06604-2301 | 2008-06-04 |
| 1508062423 | Bridgeport Family Practice Obgyn Clinic | Family Medicine | 615 Kendall Ave, Bridgeport, AL 35740 | 2007-06-26 |
| 1760505887 | Vinai Montricul | Family Medicine | 47910 Al Highway 277, Bridgeport, AL 35740-7206 | 2007-04-06 |
| 1942341060 | Zijad Sabovic | Family Medicine | 3000 Park Ave, Bridgeport, CT 06604-1105 | 2007-02-09 |
| 1538207295 | Bridgeport Family Health LLC | Family Medicine | 1381 Reservoir Avenue, Bridgeport, CT 06606-2502 | 2007-02-02 |
| Find all providers in BRIDGEPORT | ||||
| City | BRIDGEPORT |
| Zip Code | 62417 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.