Robert M Gentry

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

ROBERT M GENTRY

Practice address

1585 NW Washington Blvd
Grants Pass, OR 97526-1049

Phone

(541) 474-5511

NPI assigned

Aug 7, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Lisa A Wilson

Title

Office MGR

Phone

(541) 474-5511

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Robert Mark Gentry, M.D.

  • Family Medicine Physician
  • Grants Pass, OR
  • NPI 1255338471
  NPD (past)

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

{
    "created_epoch": "1186444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186963200000",
    "number": "1568653285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1585 NW WASHINGTON BLVD",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975261049",
            "telephone_number": "541-474-5511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1585 NW WASHINGTON BLVD",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975261049",
            "telephone_number": "541-474-5511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT M GENTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-07",
        "last_updated": "2007-08-13",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OFFICE MGR",
        "authorized_official_telephone_number": "541-474-5511",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "043364",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Riverside Home Health Care, Inc
• Madeline Lee Roach
• Cody Roark
• Beverly Robb
• Halena Robbins
• Ashley Roberts
• Joann Roberts, LMT
• Maria Gracia Roberts, PT
• Timothy E Roberts, M.D.
• Jason John Robertson

• Internal Medicine Physician in Grants Pass, OR
• Providers in Grants Pass, OR by specialty
• Internal Medicine Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2007; 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.