MILLICENT GENTRY (NPI# 1154558039) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154558039 |
| Entity Type | Individual |
| Full Name | MILLICENT GENTRY |
| Credential | MD |
| Practice Address |
1313 E Osborn Rd Ste 213 Phoenix AZ 85014-5695 |
| Practice Telephone | 6022342601 |
| Practice Fax Number | 6022343183 |
| Mailing Telephone | 6022342601 |
| Mailing Fax Number | 6022343183 |
| Enumeration Date | 2009-06-17 |
| Last Update Date | 2018-05-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
49334 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | ARIZONA MEDICAL BOARD | 49334 | 01 |
| Street Address |
1313 E OSBORN RD STE 213 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85014-5695 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831796549 | Sherri Ann Rhodes | Registered Nurse | 5727 North 7th Street, Suite 308, Phoenix, AZ 85014 | 2020-10-06 |
| 1235746249 | Kaitlyn Landess | Occupational Therapist | 1190 W. Missouri Ave, Suite 100, Phoenix, AZ 85014 | 2020-09-24 |
| 1467088062 | Generational Bridges Neuropsychological Services Pllc | Clinical Neuropsychologist | 1515 E Missouri Dr, Phoenix, AZ 85014 | 2020-03-16 |
| 1861022881 | Daza Astrid Hernandez | Speech-Language Pathologist | 5314 N 7th Street, Phoeniz, AZ 85014 | 2020-01-17 |
| 1396213542 | Arizona Youth & Family Services Inc. | Community/Behavioral Health | 3707 N. 7th Street, Ste. 200, Phoenix, AZ 85014 | 2018-11-06 |
| 1366815508 | Dehp LLC | Case Management | 3707 N. 7th St., Ste # 310, Phoenix, AZ 85014 | 2015-11-10 |
| 1659751972 | Carla Parola | Counselor | 1300 E Missouri Ave Ste A-120, Phoenix, AZ 85014 | 2015-06-02 |
| 1659763597 | Dale Carroll Davis | Dentist | 3132 N. 7th St, Phoenix, AZ 85014 | 2015-03-02 |
| 1407247091 | Cynthia Ruzich | Psychologist | 1450 E. Indian School Rd. #101, Phoenix, AZ 85014 | 2015-02-18 |
| 1144618315 | Emily M Bentz | Specialist/Technologist | 3514 N. 7th St, Phoenix, AZ 85014 | 2014-12-22 |
| Find all providers in zip 85014 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598243867 | Mdig of Florida, LLC | Radiology | 10835 N 25th Ave Ste 140, Phoenix, AZ 85029-3408 | 2018-07-30 |
| 1265974836 | Teleradiology Specialists LLC | Radiology | 4813 E Piccadilly Rd, Phoenix, AZ 85018-5540 | 2016-11-13 |
| 1447630140 | Mohamad Nass | Radiology | 34718 N 24th Ave, Phoenix, AZ 85086-6605 | 2015-06-08 |
| 1659703304 | Tesla Imaging and Medical | Radiology | 43817 Nth 50th Dr, Phoenix, AZ 85087 | 2013-08-05 |
| 1962748574 | Alysha Keren Vartevan | Radiology | 4130 E Van Buren St Ste 100, Phoenix, AZ 85008-6996 | 2012-12-31 |
| 1003177767 | Donald A Tobias | Radiology | 97 Biltmore Est, Phoenix, AZ 85016-2820 | 2012-05-30 |
| 1518279660 | Nicholas Bhojwani | Radiology | 2625 East Camelback Road, Unit 261, Phoenix, AZ 85016 | 2010-07-06 |
| 1437471323 | Smi Imaging, LLC | Radiology | 13838 S 46th Pl Ste 200, Phoenix, AZ 85044-7803 | 2010-02-19 |
| 1891928107 | Smi Imaging, LLC | Radiology | 20414 N 27th Ave Ste 150, Phoenix, AZ 85027-3246 | 2009-09-02 |
| 1396978250 | North Mountain Imaging Specialists, LLC | Radiology | 2500 N. Utopia Road, Suite 100, Phoenix, AZ 85027 | 2009-08-26 |
| Find all providers in PHOENIX | ||||
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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.