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Contact Information

JONATHAN P GENTILE II, MD
13225 N MERIDIAN ST
CARMEL, IN46032-5480
 Phone: 317-228-7000
 Fax: 317-577-0619
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pain Medicine

208VP0000X 72 Physician/Pain Management
Indicates primary specialty

NPI Profile & details for JONATHAN P GENTILE II · (Male)

NPI # 1558456020
Status Active
Credentials MD
Entity Individual
Enumeration date 10/03/2006
Last updated 05/27/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • IN License # 01039604A
  • IN Medicaid 200005430
  • IN Other 000000369670 ANTHEM PROVIDER NUMBER
  • IN Other 000000032231 M-PLAN PROVIDER NUMBER
  • IN Other P00277537 MEDICARE RAILROAD
  • IN Other 000000369670 UNICARE PROVIDER NUMBER
Hospital affiliation(s)
  • COMMUNITY HOSPITAL NORTH - (Acute Care)
    7150 CLEARVISTA DR
    INDIANAPOLIS, IN 46256
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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