ERIC I GENTRY (NPI# 1134200827) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134200827 |
| Entity Type | Individual |
| Full Name | ERIC I GENTRY |
| Credential | MD |
| Practice Address |
501 Kings Hwy E Suite 204 Fairfield CT 06825-4867 |
| Practice Telephone | 2036106300 |
| Practice Fax Number | 2036106347 |
| Mailing Telephone | 2036106300 |
| Mailing Fax Number | 2036106347 |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2013-05-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 033755 | CT | Allopathic & Osteopathic Physicians |
| N | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
033755 | CT | Allopathic & Osteopathic Physicians |
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
033755 | CT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 001337551 | 05 |
| Street Address |
501 KINGS HWY E SUITE 204 |
| City | FAIRFIELD |
| State | CT |
| Zip Code | 06825-4867 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548253990 | Fairfield Pediatrics Inc | Pediatrics | 501 Kings Hwy E, Ste 203, Fairfield, CT 06825 | 2005-08-31 |
| 1336653468 | Fairfield Public Schools | Local Education Agency (LEA) | 501 Kings Hwy E, Fairfield, CT 06825-4867 | 2017-11-28 |
| 1265757926 | Cathleen M Azarigian | Nurse Practitioner | 501 Kings Hwy E, Fairfield, CT 06825-4867 | 2010-04-06 |
| 1548421019 | Catherine Burdge | Nurse Practitioner | 501 Kings Hwy E, Fairfield, CT 06825-4867 | 2008-06-18 |
| 1871781047 | Primed, LLC | Durable Medical Equipment & Medical Supplies | 501 Kings Hwy E, Suite 204, Fairfield, CT 06825-4867 | 2007-10-12 |
| 1255525879 | Women's Quality Care Inc. | Specialist | 501 Kings Hwy E, Suite 202, Fairfield, CT 06825-4867 | 2007-08-28 |
| 1841493913 | Brian N King | Surgery | 501 Kings Hwy E, Suite 112, Fairfield, CT 06825-4867 | 2007-06-07 |
| 1861514457 | Northeast Medical Group, Inc. | Clinic/Center | 501 Kings Hwy E, Suite 105, Fairfield, CT 06825-4867 | 2007-04-04 |
| 1871614826 | Luann Russo | Advanced Practice Midwife | 501 Kings Hwy E, Suite 202, Fairfield, CT 06825-4867 | 2007-04-03 |
| 1144301839 | David H Bushell | Internal Medicine | 501 Kings Hwy E, Suite 204, Fairfield, CT 06825-4867 | 2006-10-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598376535 | Andrew Kalach | Physical Therapist | 2373 Black Rock Turnpike, Fairfield, CT 06825 | 2020-08-13 |
| 1346871423 | Clarivision-advanced Eye Care | Optometrist | 40 Black Rock Turnpike, Fairfield, CT 06825 | 2020-01-28 |
| 1730720145 | L Burke LLC | Marriage & Family Therapist | 2501 Old Post Rd, 2nd Floor, Fairfield, CT 06825 | 2019-10-07 |
| 1760045066 | Stephen Miguel Pou | Dentist | 2150 Black Rock Tpke Ste 201, Fairfield, CT 06825 | 2019-04-22 |
| 1548716111 | Connecticut Orthopaedic Specialists, PC | Specialist | 425 Boston Post Road, Fairfield, CT 06825 | 2016-09-01 |
| 1497131239 | Alice Z Kelly | Social Worker | 113 Sky Top Drive, Fairfield, CT 06825 | 2015-08-04 |
| 1902218647 | John Feiler | Occupational Therapist | 175 Jefferson St., Fairfield, CT 06825 | 2014-05-29 |
| 1710242870 | Bridge Partnership, LLC | Community/Behavioral Health | 2505 Black Rock Turnpike, 2nd Floor, Fairfield, CT 06825 | 2012-07-05 |
| 1154614543 | Center for The Healing Arts, PC | Internal Medicine | 501 Kings Highway East, Suite 108, C/o Whole Body Medicine, Fairfield, CT 06825 | 2011-05-18 |
| 1538468012 | Barbara Cohen | Occupational Therapist | 175 Jefferson Street, Fairfield, CT 06825 | 2011-03-23 |
| Find all providers in zip 06825 | ||||
| Taxonomy Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477675098 | A. Joel Papowitz | Internal Medicine | 179 Pine Creek Ave, Fairfield, CT 06824-6341 | 2007-04-04 |
| 1013901602 | Igal Staw | Internal Medicine | 2000 Post Rd, Ste 202, Fairfield, CT 06824-5730 | 2005-09-09 |
| 1821380643 | Paul David Hiles | Internal Medicine | 101 Bodin Circle, Pulmonary / Critical Care Service, Fairfield, CA 94533 | 2011-05-12 |
| 1023347101 | Donald R Doyle Md Inc A Professional Corp | Internal Medicine | 1860 Pennsylvania Ave, Suite 300b, Fairfield, CA 94533-3590 | 2009-12-18 |
| 1306092838 | Bay Area Pulmonary and Critical Care Medical Group | Internal Medicine | 1525 Webster St, Suite A, Fairfield, CA 94533-4997 | 2008-08-15 |
| 1083674220 | Gregory Colangelo | Internal Medicine | 3000 Mack Rd, Suite 120, Fairfield, OH 45014-5335 | 2006-03-23 |
| 1609836865 | William R. Krall | Internal Medicine | 5150 Sandy Ln, Fairfield, OH 45014-2738 | 2006-03-23 |
| 1003888587 | Hamilton Ancillary Services | Internal Medicine | 3000 Mack Rd, Fairfield, OH 45014-5335 | 2006-02-07 |
| 1043292238 | David James Carlson | Internal Medicine | 101 Bodin Cir, 60 Mdg, Hlvc, Fairfield, CA 94535-1809 | 2005-11-15 |
| 1699766220 | Donald R Doyle | Internal Medicine | 1860 Pennsylvania Ave, Suite 200, Fairfield, CA 94533-3590 | 2005-11-02 |
| Find all providers in FAIRFIELD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.