GENESIS MEDICAL GROUP LLC NPI 1063663433

NPI Information

NPI: 1063663433
Provider Name: GENESIS MEDICAL GROUP LLC
Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
945 BETHESDA DR STE 200
ZANESVILLE, OH
ZIP 43701
Phone: (740) 450-6147
Get Directions

GENESIS MEDICAL GROUP LLC is a general practice in Zanesville, OH. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee GENESIS MEDICAL GROUP LLC NPI is 1063663433. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

945 BETHESDA DR STE 200
ZANESVILLE, OH
ZIP 43701-880
Phone: (740) 450-6147

The provider's authorized official is Mike D Norman .
The authorized official title is Cfo and has the following contact phone number (740) 454-4773.

The enumeration date for this NPI number is 10/3/2008 and was last updated on 3/1/2021.

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 Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	207KA0200X	Allergy & Immunology	Allergy	No
2	207LP2900X	Anesthesiology	Pain Medicine	No
3	207Q00000X	Family Medicine		No
4	207R00000X	Internal Medicine		No
5	207RC0000X	Internal Medicine	Cardiovascular Disease	No
6	207RI0011X	Internal Medicine	Interventional Cardiology	No
7	207RI0200X	Internal Medicine	Infectious Disease	No
8	207T00000X	Neurological Surgery		No
9	207Y00000X	Otolaryngology		No
10	208000000X	Pediatrics		No
11	208G00000X	Thoracic Surgery (Cardiothoracic Vascular Surgery)		No
12	208VP0000X	Pain Medicine	Pain Medicine	No
13	208D00000X	General Practice		Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	2861809	MEDICAID	OHIO

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: 5/5/2024

NPI Synchronization or Removal

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