Active NPI
Layne O. Gentry, M.D.
- Infectious Disease Physician
- Houston, TX
National Provider Identifier
1750446571
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- License
- E1588
- Practice address
- 6624 Fannin St
Suite 1450
Houston, TX 77030-2312 - Phone
- (713) 383-6882
- Fax
- (713) 799-9917
- NPI assigned
- Dec 22, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Infectious Disease Physician | 207RI0200X | E1588 | TX | Primary |
Addresses
Primary practice location
6624 Fannin St
Suite 1450
Houston, TX 77030-2312
Mailing address
6624 Fannin St
Suite 1450
Houston, TX 77030-2312
Phone (713) 383-6882
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0004406874 | Other | TX | AETNA |
| 100114101 | Medicaid | TX | |
| 440000033 | Other | TX | MEDICARE RR |
| 89C791 | Other | TX | BLUE CROSS |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166745600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1279584000000",
"number": "1750446571",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6624 FANNIN ST",
"address_2": "SUITE 1450",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770302312",
"telephone_number": "713-383-6882",
"fax_number": "713-799-9917"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6624 FANNIN ST",
"address_2": "SUITE 1450",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770302312",
"telephone_number": "713-383-6882",
"fax_number": "713-799-9917"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GENTRY",
"first_name": "LAYNE",
"middle_name": "O.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-22",
"last_updated": "2010-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "TX",
"license": "E1588",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "0004406874",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100114101",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RR",
"identifier": "440000033",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "89C791",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.