Active NPI
Gregory N Entis, M.D.
- Allergy Physician
- Cincinnati, OH
National Provider Identifier
1528062890
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy Physician
- License
- 35.039575
- Practice address
- 8245 Northcreek Dr
Cincinnati, OH 45236-2283 - Phone
- (513) 246-7000
- Fax
- (513) 246-5284
- NPI assigned
- Jun 2, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 35039575E | OH | |
| Allergy & Immunology Physician | 207K00000X | 35.039575 | OH | |
| Allergy Physician | 207KA0200X | 35.039575 | OH | Primary |
Addresses
Primary practice location
8245 Northcreek Dr
Cincinnati, OH 45236-2283
Mailing address
4685 Forest Ave Ste C
Cincinnati, OH 45212-3359
Phone (513) 246-7800
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0459329 | Medicaid | OH | |
| 0402853 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35039575E | OH | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1117670400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1436918400000",
"number": "1528062890",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4685 FOREST AVE STE C",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452123359",
"telephone_number": "513-246-7800",
"fax_number": "513-246-7852"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8245 NORTHCREEK DR",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452362283",
"telephone_number": "513-246-7000",
"fax_number": "513-246-5284"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ENTIS",
"first_name": "GREGORY",
"middle_name": "N",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-02",
"last_updated": "2015-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "OH",
"license": "35039575E",
"primary": false
},
{
"code": "207K00000X",
"taxonomy_group": "",
"desc": "Allergy & Immunology",
"state": "OH",
"license": "35.039575",
"primary": false
},
{
"code": "207KA0200X",
"taxonomy_group": "",
"desc": "Allergy & Immunology, Allergy",
"state": "OH",
"license": "35.039575",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0459329",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0402853",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.