Active NPI
Elizabeth Kentra-Gorey, M.D.
- Otolaryngology Physician
- Deerfield Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 035919
- Practice address
- 201 E Sample Rd
Deerfield Beach, FL 33064-3502 - Phone
- (954) 941-8300
- NPI assigned
- Jun 10, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | ME130251 | FL | |
| Otolaryngology Physician | 207Y00000X | 035919 | GA | Primary |
Addresses
Primary practice location
201 E Sample Rd
Deerfield Beach, FL 33064-3502
Mailing address
717 Edgemont LN
Park Ridge, IL 60068-2652
Phone (404) 218-2302
Other practice location 1
3100 E Fletcher Ave
Tampa, FL 33613-4613
Phone (813) 971-6000
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 023043400 | Medicaid | FL | |
| 000531539C | Medicaid | GA | |
| 613724 | Other | GA | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, FL, WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 86.12 of 100
- Quality
- 64.08
- Promoting interoperability
- 98
- Improvement activities
- 40
- Cost
- 76.83
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2328 | WI | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Nemours Foundation | Current | Accepting new patients | |
| Florida Hospital Physician Group Inc | Otolaryngology | Current | Accepting new patients |
| Carrollton Ear, Nose and Throat, P.C. | Otolaryngology | Current | Accepting new patients |
| Lakeland Regional Health Systems, Inc. | Current | Accepting new patients | |
| Columbia St. Mary's Hospital Milwaukee, Inc | Current | Accepting new patients | |
| The Nemours Foundation | Current | Accepting new patients | |
| Columbia St. Mary's Hospital Milwaukee Inc | Current | Accepting new patients | |
| The Nemours Foundation | Current | Accepting new patients | |
| Tanner Medical Group Inc | Past | Accepting new patients |
Locations
807 Childrens Way
Jacksonville, FL 32207
Phone (904) 390-3600
3525 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 603-6565
1324 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 687-1132
8331 N Davis Hwy
Spc Care
Pensacola, FL 32514
Phone (850) 505-4700
8331 N Davis Hwy
Pensacola, FL 32514
Phone (850) 505-4700
3100 E Fletcher Ave
Tampa, FL 33613
Phone (813) 615-7200
13901 Bruce B Downs Blvd
Tampa, FL 33613
Phone (813) 615-7260
2700 Healing Way
Ste 310
Wesley Chapel, FL 33543
Phone (813) 779-1209
150 Clinic Ave
Ste 201
Carrollton, GA 30117
Phone (404) 832-1488
2301 N Lake Dr
Milwaukee, WI 53211
Phone (414) 270-4932
13111 N Port Washington Rd
Thiensville, WI 53097
Phone (262) 243-7300
801 S 70th St
West Allis, WI 53214
Phone (414) 773-6600
Interoperability endpoints
- ekentragorey69271@direct.nemours.org
Organizations & group practices 9
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.
-
dba AdventHealth Medical Group
- Family Medicine Physician
- Tampa, FL
- NPI 1174955256
Otolaryngology
-
- Multi-Specialty Clinic/Center
- Lakeland, FL
- NPI 1497748743
-
- Multi-Specialty Clinic/Center
- Jacksonville, FL
- NPI 1386658615
-
- Otolaryngology Physician
- Carrollton, GA
- NPI 1760410401
-
dba Ascension Columbia St Mary's Hospital Milwaukee
- Multi-Specialty Clinic/Center
- Milwaukee, WI
- NPI 1023064482
-
- Multi-Specialty Clinic/Center
- Jacksonville, FL
- NPI 1265585806
-
dba Ascension Columbia St Mary's Hospital Ozaukee
- Psychiatric Hospital Unit
- Mequon, WI
- NPI 1417600909
-
- Children's Hospital
- Wilmington, DE
- NPI 1467505073
-
- Cardiovascular Disease Physician
- Carrollton, GA
- NPI 1396979787
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149897600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715644800000",
"number": "1649212341",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "717 EDGEMONT LN",
"city": "PARK RIDGE",
"state": "IL",
"postal_code": "600682652",
"telephone_number": "404-218-2302",
"fax_number": "904-697-5890"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 E SAMPLE RD",
"city": "DEERFIELD BEACH",
"state": "FL",
"postal_code": "330643502",
"telephone_number": "954-941-8300"
}
],
"practiceLocations": [
{
"address_1": "3100 E Fletcher Ave",
"address_purpose": "LOCATION",
"city": "Tampa",
"state": "FL",
"postal_code": "336134613",
"country_code": "US",
"telephone_number": "813-971-6000",
"fax_number": "813-615-7542",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KENTRA-GOREY",
"first_name": "ELIZABETH",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-10",
"last_updated": "2024-05-14",
"certification_date": "2024-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "FL",
"license": "ME130251",
"primary": false
},
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "GA",
"license": "035919",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "023043400",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000531539C",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "613724",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Deerfield Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.