DR. ANDREW THOMAS GENTILE (NPI# 1396859633) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1396859633 |
Entity Type | Individual |
Full Name | DR. ANDREW THOMAS GENTILE |
Credential | M.D. |
Practice Address |
9200 Se 91st Avenue Happy Valley OR 97086 |
Practice Telephone | 9718011373 |
Practice Fax Number | 9718011401 |
Mailing Telephone | 9718011373 |
Mailing Fax Number | 9718011401 |
Enumeration Date | 2006-08-17 |
Last Update Date | 2019-11-05 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 2086S0129X |
Surgery Specialization: Vascular Surgery |
MD00044792 | WA | Allopathic & Osteopathic Physicians |
Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
MD17175 | OR | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588857098 | Andrew S Gentile | Psychologist | 3 Hillandale Lane, Westport, CT 06880-5401 | 2007-08-20 |
1053795039 | Andrew John Gentile | Dentist | 1110 W William Cannon Dr, Austin, TX 78745-5468 | 2015-07-19 |
Street Address |
9200 SE 91ST AVENUE |
City | HAPPY VALLEY |
State | OR |
Zip Code | 97086 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063803674 | Brandy Lynn Sajovic | Case Manager/Care Coordinator | 10822 Se 82nd Ave., Suite K, Happy Valley, OR 97086 | 2015-02-18 |
1851795561 | Tyler Lundquist | Chiropractor | 16144 Se Happy Valley Town Center Dr #214, Happy Valley, OR 97086 | 2014-10-09 |
1184040644 | Rui O'reilly | Massage Therapist | 10911 Se Alyssa Dr, Happy Valley, OR 97086 | 2014-03-07 |
1083036990 | Laura Dillard | Registered Nurse | 10822 Se 82nd Ave, Happy Valley, OR 97086 | 2014-01-11 |
1699027672 | Clackamas Town Dental, LLC | Dentist | 9225 Se Sunnyside Road, Clackamas, OR 97086 | 2012-10-15 |
1750639233 | Northland Hearing Centers, Inc. | Hearing Instrument Specialist | 11800 Se 82nd Avenue, Happy Valley, OR 97086 | 2012-08-15 |
1962641654 | Mt Scott Vision and Ocular Imaging Center PC | Optometrist | 9300 Ne 91st Ave, Suite 100, Happy Valley, OR 97086 | 2009-02-19 |
1598916546 | Cynthia Sue Weaver | Nurse Practitioner | 9300 Se 91 Ave., Suite 400, Portland, OR 97086 | 2008-10-08 |
1396928776 | Cary Ann Fardal | Dietitian, Registered | 13444 Se Piper Dr, Happy Valley, OR 97086 | 2007-12-09 |
1689873242 | New Seasons Market - Happy Valley | Pharmacy | 15861 Se Happy Valley Town Center Dr., Happy Valley, OR 97086 | 2007-07-13 |
Find all providers in zip 97086 |
Taxonomy Code | 2086S0129X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Surgery |
Specialization | Vascular Surgery |
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912334400 | Toshio Inahara | Surgery | 1115 Sw Summit View Dr, Portland, OR 97225-6197 | 2013-09-30 |
1902192396 | John Noel Dussel | Surgery | 9155 Sw Barnes Rd Ste 321, Portland, OR 97225 | 2011-06-23 |
1962791632 | Rishi Subbarayan | Surgery | 960 16th St, Springfield, OR 97477-4175 | 2011-04-04 |
1225351901 | Willamette Vascular Specialists, PC | Surgery | 1015 25th St Se, Salem, OR 97301 | 2010-03-09 |
1174756605 | Benjamin R. Wilson, Md, PC | Surgery | 700 Bellevue Street, Suite 240, Salem, OR 97301-3855 | 2009-09-01 |
1356584973 | Norina Mohd Nordin | Surgery | 9701 Sw Barnes Rd Ste 140, Portland, OR 97225-6688 | 2009-04-13 |
1992909766 | Wayne K. Nelson | Surgery | 1550 Ne 27th St Ste 100, Bend, OR 97701-7728 | 2007-06-13 |
1376753442 | Inovia LLC | Surgery | 2200 Ne Neff Rd Ste 204, Bend, OR 97701-4281 | 2007-05-23 |
1508074147 | Salem Vascular Consultants, LLP | Surgery | 1535 Liberty St Se, Salem, OR 97302-4345 | 2007-05-18 |
1750414330 | Robert J. Swangard, M.d., P.C. | Surgery | 655 E 11th Ave Ste 2a, Eugene, OR 97401-3683 | 2007-03-13 |
Find all providers with the same taxonomy |
City | HAPPY VALLEY |
Zip Code | 97086 |
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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.