Cory Gentile, MS, LAT, ATC, PES

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

830 Jessup St
Dunmore, PA 18512-2145

Phone

(570) 877-0258

NPI assigned

Jun 16, 2015

Last updated

Jun 7, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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

{
    "created_epoch": "1434412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465257600000",
    "number": "1003297995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 JESSUP ST",
            "city": "DUNMORE",
            "state": "PA",
            "postal_code": "185122145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 JESSUP ST",
            "city": "DUNMORE",
            "state": "PA",
            "postal_code": "185122145",
            "telephone_number": "570-877-0258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GENTILE",
        "first_name": "CORY",
        "credential": "MS, LAT, ATC, PES",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-06-16",
        "last_updated": "2016-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Marie Gambo
• Joseph John Gaughan III
• Gazoo Counseling Services LLC
• Geisinger Clinic
• Geisinger Clinic (PrimeMed Medical Grp Dunmore in collaboration w/Geisinger Clinic)
• Tina Marie George, M.D.
• Ivala Lyn Gilman
• Yvelisse Gonzalez, CRC
• Shannon Gordy, PSY.D.
• Madeline Grant, LSW

• Athletic Trainer in Dunmore, PA
• Providers in Dunmore, PA by specialty
• Athletic Trainer in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2016; 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.