Active NPI
Gentile Healthcare , P.C.
- Multi-Specialty Clinic/Center
- Dyer, IN
National Provider Identifier
1356303473
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Multi-Specialty Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036082524 | Medicaid | IL | |
| 100468800A | Medicaid | IN |
National Provider Directory
National Provider DirectoryNPI 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.