MEDICARE: DR. PHILIP JOHN GENTLESK 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
1	207RC0000X	Cardiovascular Disease Physician	M2328	TX
2	207RC0000X	Cardiovascular Disease Physician	MD421833	PA
3	207RC0000X	Cardiovascular Disease Physician	0101247596	VA
4	207RC0001X	Clinical Cardiac Electrophysiology Physician	M2328	TX
5	207RC0001X	Clinical Cardiac Electrophysiology Physician	MD421833	PA
6	207RC0001X	Clinical Cardiac Electrophysiology Physician	0101247596	VA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	10065070	OTHER	VA	SENTARA OPTIMA HEALTH (EVMS HEALTH SERVICES)
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1528059862
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PHILIP JOHN GENTLESK M.D.

Provider Business Mailing Address
First Line	:	301 RIVERVIEW AVE STE 700
Second Line	:
City	:	NORFOLK
State	:	VA
Zip	:	23510-1065
Country	:	US
Telephone Number	:	757-252-9365
Fax Number	:	757-962-7217

Provider Business Practice Location Address
First Line	:	301 RIVERVIEW AVE STE 700
Second Line	:
City	:	NORFOLK
State	:	VA
Zip	:	23510-1065
Country	:	US
Telephone Number	:	757-252-9365
Fax Number	:	757-962-7217

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/04/2005
Last Update Date	:	07/15/2022

Similar Medicare Providers

1194716621 — DR. LYNN JOAN CRONIN M.D.
Practice Location Address:

301 RIVERVIEW AVE STE 700
NORFOLK, VA
23510-1065

Practice Phone: 757-252-9365
Practice Fax:

1023094950 — WILSON PARRISH DAUGHERTY M.D., PH. D.
Practice Location Address:

301 RIVERVIEW AVE STE 202A
NORFOLK, VA
23510-1065

Practice Phone: 757-252-9140
Practice Fax: 757-793-4149

1083692917 — WYLIE HUNG ZHU MD
Practice Location Address:

301 RIVERVIEW AVE STE 202A
NORFOLK, VA
23510-1065

Practice Phone: 757-252-9140
Practice Fax: 757-793-4149

1902885668 — DR. DAVID ANTHONY BITONTI D.M.D.
Practice Location Address:

301 RIVERVIEW AVE
NORFOLK, VA
23510-1065

Practice Phone: 757-668-7713
Practice Fax: 757-668-7711

1659342806 — DR. PHILIP AARON DAVENPORT M.D.
Practice Location Address:

301 RIVERVIEW AVE STE 202
NORFOLK, VA
23510-1065

Practice Phone: 757-252-9015
Practice Fax: 757-510-9041

1477526853 — ROQUE F PLANAS-GALLIANO MD
Practice Location Address:

301 RIVERVIEW AVE , STE 500
NORFOLK, VA
23510-1065

Practice Phone: 757-233-8252
Practice Fax: 757-233-8905

Directions to “ DR. PHILIP JOHN GENTLESK M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.