BOBBY G GENTRY (NPI# 1346613171) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1346613171 |
Entity Type | Individual |
Full Name | BOBBY G GENTRY |
Credential | APRN, NP-C |
Practice Address |
512 Cherry St Bldg. I Bluefield WV 24701 |
Mailing Address |
P.o. Box 1696 Bluefield WV 24701 |
Practice Telephone | 3043242725 |
Practice Fax Number | 3043242780 |
Mailing Telephone | 3043242725 |
Mailing Fax Number | 3043242780 |
Enumeration Date | 2015-11-02 |
Last Update Date | 2015-11-02 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
74022 | WV | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
512 CHERRY ST BLDG. I |
City | BLUEFIELD |
State | WV |
Zip Code | 24701 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093778912 | Mayank S Amin | Internal Medicine | 512 Cherry St, Building I, Bluefield, WV 24701-3341 | 2006-04-11 |
1568611556 | Jennifer Suzanne Armstrong | Nurse Practitioner | 512 Cherry St, Building I, Bluefield, WV 24701 | 2008-09-15 |
1912195538 | Bonita S Fowler | Nurse Practitioner | 512 Cherry St, Building I, Bluefield, WV 24701-3341 | 2007-10-09 |
1619162237 | Eric Scott Mcclanahan | Internal Medicine | 512 Cherry St, Building I, Bluefield, WV 24701-3341 | 2007-09-06 |
1265530752 | East River Medical, Pllc | Family Medicine | 512 Cherry St, Building I, Bluefield, WV 24701-3341 | 2006-09-20 |
1679508337 | Walid Hikmet Azzo | Specialist | 512 Cherry St, Building I, Bluefield, WV 24701-3341 | 2006-07-11 |
1609839505 | Katja Felsinger | Internal Medicine | 512 Cherry St, Building I, Bluefield, WV 24701-3341 | 2006-04-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285083105 | Amber Mcclung | Pharmacist | South View Mall Us Route 52, Bluewell, WV 24701 | 2016-06-10 |
1083003909 | Kerri Francis | Specialist/Technologist | 219 Rock Street, Bluefield, WV 24701 | 2015-01-15 |
1740524222 | Stephanie Michelle Neely | Specialist | Rt 2 Old Princeton Road, Bluefield, WV 24701 | 2012-11-21 |
1649525676 | Charles Lohr | Pharmacist | 2924 E Cumberland Rd, Bluefield, WV 24701 | 2012-07-16 |
1508144239 | Chastity Leigh Walker | Nurse Practitioner | 510 Cherry St., Suite 301, Bluefield Primary Care, Bluefield, WV 24701 | 2011-07-29 |
1861795338 | Tracy Lynn Mathena | Pharmacist | Us Rt 52 N, Bluewell, WV 24701 | 2010-12-06 |
1972810125 | Bluefield Clinic Company LLC | Clinic/Center | 154 Majestic Place, Bluefield, WV 24701 | 2010-09-09 |
1477885804 | Pearle Vision Inc | Eyewear Supplier (Equipment, not the service) | Mercer Mall Rte460, Mercer Mall Ste #740, Bluefield, WV 24701 | 2010-02-10 |
1629257522 | Robert Martin Mustard II | Technician/Technologist | 210 1/2 North Street, Bluefield, WV 24701 | 2007-10-26 |
1952596603 | Bluefield Int & Cardio | Internal Medicine | 1331 Southview Drive, Suite 5, Bluefield, WV 24701 | 2007-09-06 |
Find all providers in zip 24701 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073149407 | Wendy Kaye Lawless | Nurse Practitioner | 1424 Montclair St, Bluefield, WV 24701-3824 | 2020-03-17 |
1396128112 | Samantha Dawn Nunley | Nurse Practitioner | 3016 E Cumberland Rd, Bluefield, WV 24701-4858 | 2015-06-30 |
1518359777 | Deborah Parsons | Nurse Practitioner | 713 Mountain Ln, Bluefield, VA 24605-9671 | 2015-02-25 |
1508144239 | Chastity Leigh Walker | Nurse Practitioner | 510 Cherry St., Suite 301, Bluefield Primary Care, Bluefield, WV 24701 | 2011-07-29 |
1043437569 | Sherri Lynn Williams | Nurse Practitioner | Rr 2 Box 378, Bluefield, WV 24701-9644 | 2007-04-18 |
1689282295 | Jordan Lindsey Miller | Nurse Practitioner | 231 Medical Park Dr Ste 300, Bluefield, VA 24605-1531 | 2020-07-20 |
1942826250 | Angela Louise Collins | Nurse Practitioner | 500 Cherry St, Bluefield, WV 24701-3306 | 2020-06-23 |
1851863096 | Julie Devor Orr | Nurse Practitioner | 105 Westwood Cmn, Bluefield, VA 24605-2031 | 2018-12-28 |
1801361399 | Jessica A Compton | Nurse Practitioner | 500 Cherry St, Bluefield, WV 24701-3306 | 2018-10-10 |
1548748486 | Whitney Illene Fullen | Nurse Practitioner | 105 Westwood Cmn, Bluefield, VA 24605-2031 | 2018-08-02 |
Find all providers in BLUEFIELD |
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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.