Active NPI
Dannie J Gentry MD PC
- Obstetrics Physician
- Ludington, MI
National Provider Identifier
1073664041
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics Physician
- License
- 4301073931
- Legal business name
- DANNIE J GENTRY MD PC
- Practice address
- 250 N Nelson Rd
Suite 1
Ludington, MI 49431-1942 - Phone
- (231) 843-6767
- Fax
- (231) 843-6522
- NPI assigned
- Jan 16, 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. Dannie Joe Gentry Jr., MD
- Title
- Owner
- Phone
- (231) 843-6767
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics Physician | 207VX0000X | 4301073931 | MI | Primary |
Addresses
Primary practice location
250 N Nelson Rd
Suite 1
Ludington, MI 49431-1942
Mailing address
250 N Nelson Rd
Suite 1
Ludington, MI 49431-1942
Phone (231) 843-6767
Other names 1
- Ludington Ob Gyn
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168905600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1194480000000",
"number": "1073664041",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 N NELSON RD",
"address_2": "SUITE 1",
"city": "LUDINGTON",
"state": "MI",
"postal_code": "494311942",
"telephone_number": "231-843-6767",
"fax_number": "231-843-6522"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "250 N NELSON RD",
"address_2": "SUITE 1",
"city": "LUDINGTON",
"state": "MI",
"postal_code": "494311942",
"telephone_number": "231-843-6767",
"fax_number": "231-843-6522"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DANNIE J GENTRY MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-16",
"last_updated": "2007-11-08",
"status": "A",
"authorized_official_last_name": "GENTRY",
"authorized_official_first_name": "DANNIE",
"authorized_official_middle_name": "JOE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "231-843-6767",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207VX0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology, Obstetrics",
"state": "MI",
"license": "4301073931",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Ludington Ob Gyn",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Ludington, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.