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GENESIS HEALTH SYSTEM NPI 1528616901


NPI Information

NPI: 1528616901
Provider Name: GENESIS HEALTH SYSTEM
Classification: Surgery - 208600000X
Entity Type: Organization

CLIA Number: 16D0387919

Address:
1227 E RUSHOLME ST
DAVENPORT, IA
ZIP 52803
Phone: (563) 421-3408
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GENESIS HEALTH SYSTEM is a surgery in Davenport, IA. The provider is a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. GENESIS HEALTH SYSTEM NPI is 1528616901. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1227 E RUSHOLME ST
DAVENPORT, IA
ZIP 52803-459
Phone: (563) 421-3408
Fax: (563) 421-3419

The provider's authorized official is Mark G Rogers .
The authorized official title is Vp Of Finance / Cfo and has the following contact phone number (563) 421-6513.

The CLIA number assigned to this NPI record is 16D0387919 - hospital with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 8/29/2019 and was last updated on 9/11/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103T00000XPsychologistNo
2103TH0004XPsychologistHealthNo
3207P00000XEmergency MedicineNo
4207Q00000XFamily MedicineNo
5207R00000XInternal MedicineNo
6207RH0003XInternal MedicineHematology & OncologyNo
7207RI0200XInternal MedicineInfectious DiseaseNo
8207RP1001XInternal MedicinePulmonary DiseaseNo
9207T00000XNeurological SurgeryNo
10208100000XPhysical Medicine & RehabilitationNo
11208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery)No
12208600000XSurgeryYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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