DOUGLAS J GENTRY MD PLLC NPI 1780801910

NPI Information

  • NPI: 1780801910
  • Provider Name: DOUGLAS J GENTRY MD PLLC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Other Name: DOUGLAS J GENTRY MD PLLC
  • Address: 250 NELSON RD
    STE 2
    LUDINGTON, MI
    ZIP 49431
  • Phone: (231) 845-0600

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NPI Details

DOUGLAS J GENTRY MD PLLC is a family medicine in Ludington, MI. The provider is 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. DOUGLAS J GENTRY MD PLLC NPI is 1780801910. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Douglas J Gentry Md Pllc.

The provider's business location address is:

250 NELSON RD
STE 2
LUDINGTON, MI
ZIP 49431-993
Phone: (231) 845-0600
Fax: (231) 845-6030

The provider's authorized official is Douglas James Gentry .
The authorized official title is Owner and has the following contact phone number (231) 845-0600.

The enumeration date for this NPI number is 4/19/2007 and was last updated on 2/1/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily Medicine4301076105MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10531024OTHERMICHIGANBUE CROSS BLUE SHIELD
2H89087MEDICARE UPINMICHIGAN
3P00045481MEDICARE PINMICHIGAN
40N74820MEDICARE ID-TYPE UNSPECIFIEDMICHIGAN
54522344MEDICAIDMICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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