Millicent Gentry, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

49334 Issued in AZ

Practice address

1313 E Osborn Rd Ste 213
Phoenix, AZ 85014-5695

Phone

(602) 234-2601

Fax

(602) 234-3183

NPI assigned

Jun 17, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ, TX2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Diagnostic Radiology

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southwest Diagnostic Imaging LLCGroup PAC ID 7416946199, 121 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Southwest Diagnostic Imaging LLC

  • Diagnostic Radiology Physician
  • Scottsdale, AZ
  • NPI 1902896236

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Ben-Ora Hansen & Vanesian Imaging LTD

  • Diagnostic Radiology Physician
  • Phoenix, AZ
  • NPI 1518004290

  Single Specialty

  Medicare reassignment NPD
• Dhew Ind HLTH SV HLTH SVS & MNTL HLTH Adm

  • Public Health or Welfare Agency
  • Phoenix, AZ
  • NPI 1083643738

  Single Specialty, TX

  Medicare reassignment NPD
• Sonoran Radiology LTD

  • Vascular & Interventional Radiology Physician
  • Mesa, AZ
  • NPI 1033745708

  Single Specialty

  Medicare reassignment NPD
• Dhew Ind HLTH SV HLTH SVS & MNTL HLTH Adm

  • Public Health or Welfare Agency
  • Maricopa, AZ
  • NPI 1538043443
  NPD
• Ben-Ora Hansen & Vanesian Imaging

  • Mammography Clinic/Center
  • Chandler, AZ
  • NPI 1548547029
  NPD (past)
• Ben-Ora, Hansen & Vanesian Imaging

  • Mammography Clinic/Center
  • Glendale, AZ
  • NPI 1215204383
  NPD (past)
• Ben-Ora, Hansen, & Vanesian Imaging

  • Mammography Clinic/Center
  • Phoenix, AZ
  • NPI 1629345707
  NPD (past)

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

{
    "created_epoch": "1245196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525824000000",
    "number": "1154558039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1313 E OSBORN RD STE 213",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850145695",
            "telephone_number": "602-234-2601",
            "fax_number": "602-234-3183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1313 E OSBORN RD STE 213",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850145695",
            "telephone_number": "602-234-2601",
            "fax_number": "602-234-3183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GENTRY",
        "first_name": "MILLICENT",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-17",
        "last_updated": "2018-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AZ",
            "license": "49334",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARIZONA MEDICAL BOARD",
            "identifier": "49334",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joy Melodee Gentry Bosna, LCSW
• Gentry Pediatric Behavioral Services
• Ashley Gentry, ATC
• Joseph A Gentry, PH.D.
• Juliene Clare Gentry, MD
• Sarah Ann Gentry, M. ED., BCBA
• Genucare Home Health LLC
• Genuine Master Pieces Christian Healing Center LLC
• Genzyme Corporation
• Chris T Geohas, MD

• Diagnostic Radiology Physician in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Diagnostic Radiology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.