Michael Benjamin Gentry (NPI# 1043509250, PAC ID# 6002184066) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PATHOLOGY.
| Nation Provider ID (NPI) | 1043509250 |
| PAC ID by PECOS | 6002184066 |
| Professional Enrollment ID | I20170615000487 |
| Full Name | Michael Benjamin Gentry |
| Organization Legal Name | KETTERING PATHOLOGY ASSOCIATES INC |
| Address |
3535 Southern Blvd Kettering OH 45429-1221 |
| Phone Number | 9373958849 |
| Gender | M |
| Medical School | UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL SCHOOL OF MEDICINE |
| Graduation Year | 2011 |
| Primary Specialty | PATHOLOGY |
| Group Practice PAC ID | 8426040171 |
| Number of Group Practice Members | 11 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 340053 | NOVANT HEALTH PRESBYTERIAN MEDICAL CENTER |
| 340171 | NOVANT HEALTH MATTHEWS MEDICAL CENTER |
| 340183 | NOVANT HEALTH HUNTERSVILLE MEDICAL CENTER |
| 360133 | GRANDVIEW AND SOUTHVIEW HOSPITALS |
| Address | Phone | Organization |
|---|---|---|
| 200 Hawthorne Ln, Charlotte, NC 28204-2515 | ||
| 8201 Healthcare Loop, Charlotte, NC 28215-7072 | ||
| 3535 Southern Blvd, Kettering, OH 45429-1221 | 9373958849 | KETTERING PATHOLOGY ASSOCIATES INC |
| Organization Legal Name | KETTERING PATHOLOGY ASSOCIATES INC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Carolyn P Misick | Pathology | Kettering Pathology Associates Inc | 630 Eaton Ave, Hamilton, OH 45013-2767 |
| Patricia A Mcdowell | Pathology | Kettering Pathology Associates Inc | 3535 Southern Blvd, Kettering, OH 45429-1221 |
| Street Address |
3535 SOUTHERN BLVD |
| City | KETTERING |
| State | OH |
| Zip | 45429-1221 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sylvia Polenakovik | Internal Medicine | Alliance Physicians Inc | 3535 Southern Blvd, Kettering, OH 45429-1221 |
| Swathi Datla | Family Medicine | Alliance Physicians Inc | 3535 Southern Blvd, Kettering, OH 45429-1221 |
| Jeremy L Chapman | Internal Medicine | Alliance Physicians Inc | 3535 Southern Blvd, Kettering, OH 45428-1221 |
| Timberly De Ann Harvey | Certified Registered Nurse Anesthetist (crna) | Kettering Anesthesia Associates, Inc | 3535 Southern Blvd, Kettering, OH 45429-1221 |
| Chalana U Gunawardena | Hospitalist | Alliance Physicians Inc | 3535 Southern Blvd, Kettering, OH 45428-1221 |
| Julia Anne Balandiat | Physician Assistant | Alliance Physicians Inc | 3535 Southern Blvd, Kettering, OH 45429-1221 |
| Nicole K Hammock | Nurse Practitioner | South Dayton Acute Care Consultants, Inc | 3535 Southern Blvd, Dayton, OH 45429-1221 |
| David B Jackson | Emergency Medicine | Emergency Medicine Specialists Inc | 3535 Southern Blvd, Kettering, OH 45429-1221 |
| Michael Kelley | Physician Assistant | Alliance Physicians Inc | 3535 Southern Blvd, Kettering, OH 45429-1221 |
| Daniel Lucian Butnariu | Critical Care (intensivists) | South Dayton Acute Care Consultants, Inc | 3535 Southern Blvd, Dayton, OH 45429-1221 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael David Johnson | General Surgery | Alliance Physicians Inc | 3535 Southern Blvd, Kettering, OH 45429-1221 |
| Bradley A. Wisler | Anesthesiology | Kettering Anesthesia Associates, Inc | 3535 Southern Blvd, Kettering, OH 45429-1221 |
| Michael Caccamo | Diagnostic Radiology | Kettering Network Radiologists Inc | 3535 Southern Blvd, Kettering, OH 45429-1221 |
| Lori E Bickett | Nurse Practitioner | South Dayton Acute Care Consultants, Inc | 3535 Southern Blvd, Dayton, OH 45429-1221 |
| Ersie Pouagare | Pathology | Regional Pathology Services Inc | 3535 Southern Blvd, Kettering, OH 45429-1221 |
| Renjini Rachel Thomas | Internal Medicine | South Dayton Acute Care Consultants, Inc | 3535 Southern Blvd, Dayton, OH 45429-1221 |
| Scott J Arnold | Pathology | Regional Pathology Services Inc | 3535 Southern Blvd, Kettering, OH 45429-1221 |
| Valerie A Aliu | Internal Medicine | South Dayton Acute Care Consultants, Inc | 3535 Southern Blvd, Dayton, OH 45429-1221 |
| Justin Stafford | Physician Assistant | Alliance Physicians Inc | 3535 Southern Blvd, Kettering, OH 45429-1221 |
| John Petty | Physical Medicine and Rehabilitation | 3535 Southern Blvd, Kettering, OH 45429-1221 | |
| Find all physicians in zip 45429 | |||
| City | KETTERING |
| Zip Code | 45429 |
| Specialty | PATHOLOGY |
| City + Specialty | KETTERING + PATHOLOGY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.