Patricia Gentry-Young, HAIR LOSS SPECIALIST

Primary specialty

Prosthetics Case ManagementTaxonomy code 1744P3200X

License

693597 Issued in OH

Practice address

1928 E High St
Springfield, OH 45505-1228

Phone

(937) 324-4301

Fax

(937) 324-4305

NPI assigned

Nov 25, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Young Hair Inc.

  • Prosthetic/Orthotic Supplier
  • Springfield, OH
  • NPI 1629491485
  NPD (past)

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

{
    "created_epoch": "1385337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1385337600000",
    "number": "1689004806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1928 E HIGH ST",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455051228",
            "telephone_number": "937-324-4301",
            "fax_number": "937-324-4305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1928 E HIGH ST",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455051228",
            "telephone_number": "937-324-4301",
            "fax_number": "937-324-4305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GENTRY-YOUNG",
        "first_name": "PATRICIA",
        "credential": "HAIR LOSS SPECIALIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-25",
        "last_updated": "2013-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1744P3200X",
            "taxonomy_group": "",
            "desc": "Specialist, Prosthetics Case Management",
            "state": "OH",
            "license": "693597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Madonna Gearin, MS, RD, LD
• Aaron Gehring
• Genesis Physical Therapy & Wellness Center, L.L.C.
• Charlotte Gengler
• Genoa Healthcare LLC
• George Varghese MD & Assoc Inc
• Erin Elizabeth George, MSW, LISW-S
• Helen Marie George
• Jajuan Gibbs
• Philip Joseph Gibeau, PHD

• Prosthetics Case Management in Springfield, OH
• Providers in Springfield, OH by specialty
• Prosthetics Case Management in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2013; 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.