Emily Ruthanne Gentry, PA-C

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

PA60937 Issued in CA

Practice address

39141 Civic Center Dr Ste 335
Fremont, CA 94538-5878

Phone

(510) 248-1450

Fax

(510) 742-8244

NPI assigned

Oct 22, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Washington Township Medical FoundationGroup PAC ID 2860687050, 125 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Washington Hospital Hospital, Fremont, CA, CCN 050195

Merit-based Incentive Payment System (MIPS)

Final score

87.74 of 100Reported as group

Quality

66.48

Promoting interoperability

100

Improvement activities

40

Cost

75.97

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Washington Township Medical Foundation

  • Internal Medicine Physician
  • Fremont, CA
  • NPI 1346557014
  Medicare reassignment Care Compare group
• Washington Township Medical Group

  • Family Medicine Physician
  • Fremont, CA
  • NPI 1174675417

  Multi-Specialty

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Washington Township Hospital District

  dba Washington Hospital

  • General Acute Care Hospital
  • Fremont, CA
  • NPI 1780614685
  Care Compare affiliation

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

{
    "created_epoch": "1634860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648512000000",
    "number": "1235893645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39141 CIVIC CENTER DR STE 335",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945385878",
            "telephone_number": "510-248-1450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39141 CIVIC CENTER DR STE 335",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945385878",
            "telephone_number": "510-248-1450",
            "fax_number": "510-742-8244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GENTRY",
        "first_name": "EMILY",
        "middle_name": "RUTHANNE",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-22",
        "last_updated": "2022-03-29",
        "certification_date": "2022-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA60937",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": "CA",
            "license": "PA60937",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Surgical Physician Assistant in Fremont, CA
• Providers in Fremont, CA by specialty
• Surgical Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2022; 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.