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NPI Code Detail

MEDICARE: DR. PATRICIA M GENTILE M.D.

MEDICARE: DR. PATRICIA M GENTILE M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0800XPsychiatry Physician35-075236OH
22084P0804XChild & Adolescent Psychiatry Physician35-075236OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1255493425
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PATRICIA M GENTILE M.D.
Provider Business Mailing Address
First Line : 5665 HOOVER RD
Second Line :
City : GROVE CITY
State : OH
Zip : 43123-9122
Country : US
Telephone Number : 614-539-6552
Fax Number : 614-875-7843
Provider Business Practice Location Address
First Line : 5665 HOOVER RD
Second Line :
City : GROVE CITY
State : OH
Zip : 43123-9122
Country : US
Telephone Number : 614-539-6552
Fax Number : 614-875-7843
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/14/2006
Last Update Date : 02/25/2013

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