DR. PHILIP JOHN GENTLESK (NPI# 1528059862) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528059862 |
| Entity Type | Individual |
| Full Name | DR. PHILIP JOHN GENTLESK |
| Credential | M.D. |
| Practice Address |
111 Medical Pkwy Suite 300 Chesapeake VA 23320-0302 |
| Mailing Address |
205 Business Park Dr Suite 200 Virginia Beach VA 23462-6535 |
| Practice Telephone | 7575472233 |
| Mailing Telephone | 7579621083 |
| Enumeration Date | 2005-11-04 |
| Last Update Date | 2011-11-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
0101247596 | VA | Allopathic & Osteopathic Physicians |
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
M2328 | TX | Allopathic & Osteopathic Physicians |
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
MD421833 | PA | Allopathic & Osteopathic Physicians |
| Y | 207RC0001X |
Internal Medicine Specialization: Clinical Cardiac Electrophysiology |
0101247596 | VA | Allopathic & Osteopathic Physicians |
| N | 207RC0001X |
Internal Medicine Specialization: Clinical Cardiac Electrophysiology |
M2328 | TX | Allopathic & Osteopathic Physicians |
| N | 207RC0001X |
Internal Medicine Specialization: Clinical Cardiac Electrophysiology |
MD421833 | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 1528059862 | 05 | |
| TX | 189409901 | 05 | |
| VA | SENTARA OPTIMA HEALTH (EVMS HEALTH SERVICES) | 10065070 | 01 |
| Street Address |
111 MEDICAL PKWY SUITE 300 |
| City | CHESAPEAKE |
| State | VA |
| Zip Code | 23320-0302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952721219 | Ciera Butts | Obstetrics & Gynecology | 111 Medical Pkwy, Chesapeake, VA 23320 | 2014-04-24 |
| 1871931576 | Melissa Margaret Marsiglia | Nurse Practitioner | 111 Medical Pkwy, 2nd and 3rd Floor, Chesapeake, VA 23320-0302 | 2013-06-05 |
| 1831440189 | Keshia Avant Brown | Physician Assistant | 111 Medical Pkwy, 2nd Floor, Chesapeake, VA 23320-0302 | 2012-09-26 |
| 1104083971 | Michael P Grimes | Obstetrics & Gynecology | 111 Medical Pkwy, Suite 202, Chesapeake, VA 23320-0302 | 2008-05-20 |
| 1831293604 | Bio-medical Applications of Virginia, Inc. | Clinic/Center | 111 Medical Pkwy, Suite 100, Chesapeake, VA 23320-0302 | 2006-09-12 |
| 1912014093 | Khadijah Y. Jordan, Md.,pc | Obstetrics & Gynecology | 111 Medical Pkwy, Suite 202, Chesapeake, VA 23320-0302 | 2006-08-24 |
| 1861428518 | Maruthi V Gottimukkala | Internal Medicine | 111 Medical Pkwy, Suite 300, Chesapeake, VA 23320-0302 | 2006-06-24 |
| 1528022688 | Khadijah Yasin Jordan | Obstetrics & Gynecology | 111 Medical Pkwy, Suite 202, Chesapeake, VA 23320-0302 | 2006-04-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386263499 | Trinity Hospice 1, LLC | Hospice Care, Community Based | 1401 Kempsville Road, Suite A, Unit 1, Chesapeake, VA 23320 | 2020-04-09 |
| 1538624804 | Shaniqah Mcleod | Home Health | 217 Centerville Turnpike N, Chesapeake, VA 23320 | 2019-01-31 |
| 1942764113 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 1400 Kempsville Rd, Virginia Beach, VA 23320 | 2019-01-22 |
| 1639647993 | Madison Vansavage Maben | Orthotist | 433 Network Sta, Chesapeake, VA 23320 | 2018-11-05 |
| 1568947356 | Kelly M Muchetti | Massage Therapist | 1421 C. Kempsville Rd., Chesapeake, VA 23320 | 2018-09-27 |
| 1235612912 | L&s Home Health Care, LLC. | Home Health | 1545 Cossways Blv, Chesepeake, VA 23320 | 2018-09-10 |
| 1154803500 | Latricia A Patterson | Home Health | 813-a Professional Pl Ste 107, Chesapeake, VA 23320 | 2018-09-02 |
| 1164909586 | 4k Tresses | Durable Medical Equipment & Medical Supplies | 1220 Executive Blvd Ste 101, Chesapeake, VA 23320 | 2018-07-27 |
| 1831676105 | Lance Taylor | Technician | 1645 Crossways Blvd Ste 250, Chesapeake, VA 23320 | 2018-07-19 |
| 1023507688 | Sentoria Howell Harold | Social Worker | 920 Ventures Way Ste 4, Chesapeake, VA 23320 | 2018-05-08 |
| Find all providers in zip 23320 | ||||
| Taxonomy Code | 207RC0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Clinical Cardiac Electrophysiology |
| A field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154701878 | Nmg Affiliate Practice I, LLC | Internal Medicine | 8567 Sudley Rd Ste B, Manassas, VA 20110-3865 | 2015-06-08 |
| 1497943344 | Saumil R Shah | Internal Medicine | 1001 Boulders Pkwy Ste 110, North Chesterfield, VA 23225 | 2007-10-04 |
| 1770671711 | Sarfraz Durrani | Internal Medicine | 3020 Hamaker Ct Ste 401, Fairfax, VA 22031-2220 | 2006-10-11 |
| 1376630988 | Neoma S George | Internal Medicine | 4000 Coliseum Dr Ste 445, Hampton, VA 23666-5981 | 2006-10-06 |
| 1205819521 | Scott Kaufman | Internal Medicine | 500 J Clyde Morris Blvd Ste A, Newport News, VA 23601-1929 | 2005-11-21 |
| 1306304217 | Virginia Arrhythmia Consultants Pllc | Internal Medicine | 1001 Boulders Pkwy Ste 110, North Chesterfield, VA 23225-5513 | 2019-03-10 |
| 1356850598 | Oliver James Monfredi | Internal Medicine | 500 Ray C Hunt Dr, Charlottesville, VA 22903-2981 | 2017-09-20 |
| 1104163542 | Fairfax Arrhythmia, Pllc | Internal Medicine | 3020 Hamaker Ct, Suite 401, Fairfax, VA 22031-2238 | 2013-01-04 |
| 1265731491 | Stephen Andrew Gaeta | Internal Medicine | 3020 Hamaker Ct Ste 101, Fairfax, VA 22031-2233 | 2011-03-28 |
| 1396056982 | Fort Norfolk Plaza Medical Associates, LLC | Internal Medicine | 301 Riverview Ave Ste 500, Norfolk, VA 23510-1066 | 2010-06-29 |
| Find all providers with the same taxonomy | ||||
| City | CHESAPEAKE |
| Zip Code | 23320 |
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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.