DOUGLAS J GENTRY MD PLLC (NPI# 1780801910) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780801910 |
| Entity Type | Organization |
| Organization Name | DOUGLAS J GENTRY MD PLLC |
| Other Organization Name | DOUGLAS J GENTRY MD PLLC |
| Practice Address |
250 Nelson Rd Ste 2 Ludington MI 49431-1993 |
| Practice Telephone | 2318450600 |
| Practice Fax Number | 2318456030 |
| Mailing Telephone | 2318450600 |
| Mailing Fax Number | 2318456030 |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2008-02-01 |
| Authorized Official Name | DR. DOUGLAS JAMES GENTRY (OWNER) |
| Authorized Official Telephone | 2318450600 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 4301076105 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BUE CROSS BLUE SHIELD | 0531024 | 01 |
| MI | 4522344 | 05 |
| Other Name | Type Code |
|---|---|
| DOUGLAS J GENTRY MD PLLC | Other Name - Individual/Organization |
| Street Address |
250 NELSON RD STE 2 |
| City | LUDINGTON |
| State | MI |
| Zip Code | 49431-1993 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366446130 | Margaret E Gustafson | Obstetrics & Gynecology | 250 Nelson Rd, Ste 1, Ludington, MI 49431-1993 | 2005-06-09 |
| 1093161820 | Memorial Medical Center of West Michigan | Clinic/Center | 250 Nelson Rd, Suite 1, Ludington, MI 49431-1993 | 2016-05-11 |
| 1689050783 | Memorial Medical Center of West Michigan | Obstetrics & Gynecology | 250 Nelson Rd, Ludington, MI 49431-1993 | 2015-07-31 |
| 1578985966 | Trudie Brandt | Social Worker | 250 Nelson Rd, Suite 2, Ludington, MI 49431-1993 | 2014-01-20 |
| 1063834679 | Patricia A Murphy-ruhlig | Social Worker | 250 Nelson Rd, Ste 2, Ludington, MI 49431-1993 | 2014-01-16 |
| 1609143569 | Devin A Gill | Social Worker | 250 Nelson Rd, Suite 2, Ludington, MI 49431-1993 | 2011-11-21 |
| 1588792295 | Dwight W Wood Md Plc | Ophthalmology | 250 Nelson Rd, Suite 1, Ludington, MI 49431-1993 | 2007-03-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972006690 | Marti Miller | Physical Therapist | 5916 Iris Rd., Ludington, MI 49431 | 2018-03-09 |
| 1700258670 | Leslie Hahn Ezdebski | Registered Nurse | 318 River St., Suite B, Manistee, MI 49431 | 2015-10-30 |
| 1477888618 | Kathleen M Tooman | Orthotic Fitter | 901 E Tinkham Avenue, Ludington, MI 49431 | 2009-10-06 |
| 1790831592 | Roger Edgren Ostling | Social Worker | 1027 N Rath, Ludington, MI 49431 | 2007-01-25 |
| 1487734364 | Kathryn Jean Niemeyer | Nurse Practitioner | 5 Atkinson Drive, Suite #207, Ludington, MI 49431 | 2006-10-16 |
| 1609986405 | Vivek Thakore | Clinic/Center | 5511 West Us 10 Hwy, Ludington, MI 49431 | 2006-08-30 |
| 1295747756 | Barbara Sleder | Nurse Practitioner | 1 North Atkinson Dr, Ludington, MI 49431 | 2006-08-13 |
| 1083653893 | William L Ingle Dc | Chiropractor | 321 N Jebavy Drive, Ludington, MI 49431 | 2006-06-06 |
| 1366429706 | Andrew S Riemer | Ophthalmology | 5959 Lawndale St, Ludington, MI 49431 | 2005-12-28 |
| 1699240085 | Toby Wessel, Lmsw, Pllc | Social Worker | 612 Sherman Oaks Dr, Ludington, MI 49431 | 2018-10-11 |
| Find all providers in zip 49431 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750531224 | Kerry M. Simon, M.d., P.C. | Family Medicine | 220 S James St, Ludington, MI 49431-2104 | 2008-09-22 |
| 1801086046 | Gerry Leon Mayer | Family Medicine | 806 Russell St, Ludington, MI 49431-1872 | 2007-07-25 |
| 1790814762 | Rebecca Welborn Miller | Family Medicine | 7 Atkinson Dr Ste 113, Ludington, MI 49431-1953 | 2007-03-05 |
| 1861503658 | David Z Gadzinski Md PC | Family Medicine | 126 W Ludington Ave, Ludington, MI 49431-2022 | 2006-08-31 |
| 1760404214 | Robert Macnair Crompton | Family Medicine | 300 S Rath Ave, Suite 201, Ludington, MI 49431-3003 | 2006-07-24 |
| 1790789568 | Jennifer Lynn Miller | Family Medicine | 922 Lawndale St, Ludington, MI 49431-1928 | 2005-06-09 |
| 1306352711 | Andrea Carol Neve | Family Medicine | 5656 W Us Highway 10, Ludington, MI 49431-2454 | 2017-12-20 |
| 1578913265 | Matthew William Holden | Family Medicine | 922 Lawndale St, Ludington, MI 49431-1928 | 2016-06-14 |
| 1508260902 | Memorial Medical Center of West Michigan | Family Medicine | 1 N Atkinson Dr, Ludington, MI 49431-1906 | 2014-10-14 |
| 1891104568 | Memorial Medical Center of West Michigan | Family Medicine | 220 S James St, Ludington, MI 49431-2104 | 2014-08-07 |
| Find all providers in LUDINGTON | ||||
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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.