Douglas J Gentry MD PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

4301076105 Issued in MI

Legal business name

DOUGLAS J GENTRY MD PLLC

Practice address

250 Nelson Rd
Ste 2
Ludington, MI 49431-1993

Phone

(231) 845-0600

Fax

(231) 845-6030

NPI assigned

Apr 19, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Douglas James Gentry, MD

Title

Owner

Phone

(231) 845-0600

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• DOUGLAS J GENTRY MD PLLC Other name

Locations

Practitioners 4

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

• Trudie Brandt, LMSW CSW-G

  • Clinical Social Worker
  • Ludington, MI
  • NPI 1578985966
  NPD (past)
• Devin A Gill, LMSW

  • Clinical Social Worker
  • Ludington, MI
  • NPI 1609143569
  NPD (past)
• Patricia A Murphy-Ruhlig, LMSW

  • Social Worker
  • Ludington, MI
  • NPI 1063834679
  NPD (past)
• Amy Elizabeth Seng, NP-C

  • Family Nurse Practitioner
  • Goshen, IN
  • NPI 1295991545
  NPD (past)

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201824000000",
    "number": "1780801910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 NELSON RD",
            "address_2": "STE 2",
            "city": "LUDINGTON",
            "state": "MI",
            "postal_code": "494311993",
            "telephone_number": "231-845-0600",
            "fax_number": "231-845-6030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 NELSON RD",
            "address_2": "STE 2",
            "city": "LUDINGTON",
            "state": "MI",
            "postal_code": "494311993",
            "telephone_number": "231-845-0600",
            "fax_number": "231-845-6030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUGLAS J GENTRY MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-19",
        "last_updated": "2008-02-01",
        "status": "A",
        "authorized_official_last_name": "GENTRY",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "231-845-0600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301076105",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BUE CROSS BLUE SHIELD",
            "identifier": "0531024",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4522344",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DOUGLAS J GENTRY MD PLLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Katie Debellis, PHARMD
• Samantha Decker, PA-C
• Heather Lynn Dennis, LBSW
• Jorel Dickinson-Hendershot, CRNA
• Lauren Elizabeth Dixon, LMSW
• Dr Daniel G Reum DO PC
• Sujean Drake, LMSW
• Stephanie Duncan, LLMSW
• Abagail Dunmire, RN
• Sara Durand, BSW

• Family Medicine Physician in Ludington, MI
• Providers in Ludington, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2008; 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.