Richard D Gentile, MD

Primary specialty

Facial Plastic Surgery PhysicianTaxonomy code 207YS0123X

License

35048093G Issued in OH

Practice address

821 Kentwood Dr Ste C
Youngstown, OH 44512-5061

Phone

(330) 758-2001

Fax

(330) 726-3577

NPI assigned

Oct 26, 2006

Last updated

Nov 30, 2021By 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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

• Otolaryngology Head & Neck Consultants, P.C.

  • Facial Plastic Surgery Physician
  • Youngstown, OH
  • NPI 1578769261
  Authorized official Same address or phone

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638230400000",
    "number": "1275618316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "821 KENTWOOD DR STE C",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445125061",
            "telephone_number": "330-758-2001",
            "fax_number": "330-726-3577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "821 KENTWOOD DR STE C",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445125061",
            "telephone_number": "330-758-2001",
            "fax_number": "330-726-3577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GENTILE",
        "first_name": "RICHARD",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-26",
        "last_updated": "2021-11-30",
        "certification_date": "2021-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YS0123X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Facial Plastic Surgery",
            "state": "OH",
            "license": "35048093G",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0666837",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Genesis National Alliance LLC (FirstLight Home Care of Boardman-Warren)
• Genoa Healthcare LLC
• Brenda Gentile, RN
• John Vincent Gentile, DO
• Lawrence P Gentile Jr.
• Gentle Footcare LLC
• Carolyn Denise Gentry
• Alexis E George
• Armandlyn George, RN
• Kimberly George

• Facial Plastic Surgery Physician in Youngstown, OH
• Providers in Youngstown, OH by specialty
• Facial Plastic Surgery Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2021; 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.