Organization Active NPI

Gentile Healthcare , P.C.

  • Multi-Specialty Clinic/Center
  • Dyer, IN
National Provider Identifier
1356303473
Registry record updated Nov 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
GENTILE HEALTHCARE , P.C.
Practice address
1001 Main St
Suite 2E
Dyer, IN 46311-1234
Phone
(219) 865-9160
Fax
(219) 865-9251
NPI assigned
Apr 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2009

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

Authorized official

Name
Dr. Anthony Nicholas Gentile, M.D.,PH.D
Title
President
Phone
(219) 865-9160

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

1001 Main St
Suite 2E
Dyer, IN 46311-1234

Mailing address

1001 Main St
Suite 2E
Dyer, IN 46311-1234
Phone (219) 865-9160

Other identifiers 2

IdentifierTypeStateIssuer
036082524MedicaidIL
100468800AMedicaidIN

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1144108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257724800000",
    "number": "1356303473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 MAIN ST",
            "address_2": "SUITE 2E",
            "city": "DYER",
            "state": "IN",
            "postal_code": "463111234",
            "telephone_number": "219-865-9160",
            "fax_number": "219-865-9251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 MAIN ST",
            "address_2": "SUITE 2E",
            "city": "DYER",
            "state": "IN",
            "postal_code": "463111234",
            "telephone_number": "219-865-9160",
            "fax_number": "219-865-9251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENTILE HEALTHCARE , P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-04",
        "last_updated": "2009-11-09",
        "status": "A",
        "authorized_official_last_name": "GENTILE",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "NICHOLAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "219-865-9160",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D.,PH.D"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036082524",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100468800A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dyer, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2009; 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.