Individual provider Active NPI

Jonathon B Gentry, MD

  • Neurological Surgery Physician
  • Amarillo, TX
National Provider Identifier
1295841435
Registry record updated Nov 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
L3653 Issued in TX
Practice address
705 Quail Creek Dr
Amarillo, TX 79124
Phone
(806) 353-6400
NPI assigned
Aug 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X L3653 TX Primary

Addresses

Primary practice location

705 Quail Creek Dr
Amarillo, TX 79124

Mailing address

705 Quail Creek Dr
Amarillo, TX 79124
Phone (806) 353-6400

Other identifiers 7

IdentifierTypeStateIssuer
128496101OtherTXSOUTHWEST LIFE & HEALTH
P00045563OtherTXMEDICARE RAILROAD
22454772MedicaidNM
151644501MedicaidTX
200004050AMedicaidOK
88392SOtherTXBCBS
128496101OtherTXFIRST CARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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 1

Enrollment IDStateProvider typePAC IDDetails
I20100327000368 TX Practitioner - Neurosurgery 9133255292 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
University of Texas Medical School at Houston, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southwest Neuroscience and Spine Center PAGroup PAC ID 0345133823, 11 clinicians

Practice addresses (Care Compare)

705 Quail Creek Dr
Amarillo, TX 79124-1608
Phone (806) 353-6400

Hospital & facility affiliations

  • Quail Creek Surgical Hospital Hospital, Amarillo, TX, CCN 450875
  • Bsa Hospital Hospital, Amarillo, TX, CCN 450231

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion142
Laminectomy or laminotomy (partial removal of spine bones)33

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
L3653TXMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Neuroscience and Spine Center PA Neurological Surgery CurrentSince Jul 26, 2007 Accepting new patients

Locations

705 Quail Creek Dr
Amarillo, TX 79124
Phone (806) 353-6400

11 Medical Dr
Amarillo, TX 79106
Phone (806) 353-6400

Organizations & group practices 1

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730937600000",
    "number": "1295841435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 QUAIL CREEK DR",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "79124",
            "telephone_number": "806-353-6400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 QUAIL CREEK DR",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "79124",
            "telephone_number": "806-353-6400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GENTRY",
        "first_name": "JONATHON",
        "middle_name": "B",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-21",
        "last_updated": "2024-11-07",
        "certification_date": "2024-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "TX",
            "license": "L3653",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOUTHWEST LIFE & HEALTH",
            "identifier": "128496101",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00045563",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "22454772",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "151644501",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200004050A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "88392S",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST CARE",
            "identifier": "128496101",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Amarillo, TX

Sources for this page

Verify at the official NPI Registry.