NELSON ERIC GENCHEFF (NPI# 1073557435) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073557435 |
| Entity Type | Individual |
| Full Name | NELSON ERIC GENCHEFF |
| Credential | DO |
| Practice Address |
1414 West Fair Avenue Suite 334 Marquette MI 49855 |
| Practice Telephone | 9062253870 |
| Practice Fax Number | 9062254861 |
| Mailing Telephone | 9062253870 |
| Mailing Fax Number | 9062254861 |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2013-08-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
5101009341 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 30054000 | 05 | |
| RAILROAD MEDICARE | 060029051 | 01 | |
| MI | 3090816 | 05 | |
| MI | BLUE CROSS BLUE SHIELD | 0655200055 | 01 |
| Street Address |
1414 WEST FAIR AVENUE SUITE 334 |
| City | MARQUETTE |
| State | MI |
| Zip Code | 49855 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700826542 | James L Christiansen Md PC | Pediatrics | 1414 West Fair Avenue, Suite 334, Marquette, MI 49855 | 2006-06-08 |
| 1386897395 | Robert Charles Dellangelo | Ophthalmology | 1414 West Fair Avenue, Ste 347, Marquette, MI 49855 | 2008-11-04 |
| 1285662015 | David Arvo Pesola | Internal Medicine | 1414 West Fair Avenue, Suite 334, Marquette, MI 49855 | 2006-06-29 |
| 1629005525 | William Carter Vallin | Physician Assistant | 1414 West Fair Avenue, Suite 342, Marquette, MI 49855 | 2006-06-27 |
| 1407892995 | Curtis Charles Marder | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1414 West Fair Avenue, Suite 342, Marquette, MI 49855 | 2006-06-21 |
| 1093750085 | John Michael Pap | Internal Medicine | 1414 West Fair Avenue, Suite 334, Marquette, MI 49855 | 2006-06-17 |
| 1730123183 | Gary Merle Friesen | Internal Medicine | 1414 West Fair Avenue, Suite 334, Marquette, MI 49855 | 2006-06-16 |
| 1255375614 | Thomas Dale Legalley | Internal Medicine | 1414 West Fair Avenue, Suite 334, Marquette, MI 49855 | 2006-06-16 |
| 1588608947 | Gail Peters Brayden | Internal Medicine | 1414 West Fair Avenue, Suite 334, Marquette, MI 49855 | 2006-06-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023665064 | Scott Allen Poirier | Physician Assistant | 850 West Baraga Avenue, Marquette, MI 49855 | 2019-08-23 |
| 1730734831 | Katelyn Tourville | Physician Assistant | 1401 Presque Isle Ave-health Center, Marquette, MI 49855 | 2019-08-06 |
| 1932681095 | Katelyn Longanbach | Physical Therapist | 841 W Washington St Ste 500, Marquette, MI 49855 | 2018-09-05 |
| 1366943979 | Meijer, Inc. | Durable Medical Equipment & Medical Supplies | 3630 Us 41 W, Marquette, MI 49855 | 2018-02-28 |
| 1518466143 | Orthopaedic Surgery Associates of Marquette PC | Prosthetic/Orthotic Supplier | 841 West Washington Street, Suite 100, Marquette, MI 49855 | 2018-02-09 |
| 1376075598 | Pamela Baynton | Licensed Practical Nurse | 2292 U.S. 41 W, Marquette, MI 49855 | 2017-03-28 |
| 1548709454 | Allison Jean Czarny | Registered Nurse | 160 E Wright Pl, Marquette, MI 49855 | 2017-02-13 |
| 1629427299 | Larry Chappel | Social Worker | 210 Chippewa Square, Suite 208, Marquette, MI 49855 | 2016-06-06 |
| 1366898348 | Carla Pate | Student in an Organized Health Care Education/Training Program | 235 Hunt Hall, Marquette, MI 49855 | 2016-05-10 |
| 1922479732 | Nicholas Wujcik | Student in an Organized Health Care Education/Training Program | 504 S Fifth St, Marquette, MI 49855 | 2015-10-20 |
| Find all providers in zip 49855 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346598711 | Dlp Marqutte Physician Practices Inc | Internal Medicine | 1414 W Fair Ave, Ste 334, Marquette, MI 49855-2675 | 2012-08-16 |
| 1205909967 | Rudolph Francis Evonich IIi | Internal Medicine | 1414 W Fair Ave, Suite 334, Marquette, MI 49855-2675 | 2006-11-17 |
| 1285662015 | David Arvo Pesola | Internal Medicine | 1414 West Fair Avenue, Suite 334, Marquette, MI 49855 | 2006-06-29 |
| 1093750085 | John Michael Pap | Internal Medicine | 1414 West Fair Avenue, Suite 334, Marquette, MI 49855 | 2006-06-17 |
| 1710922711 | William Joseph Jean | Internal Medicine | 1414 W Fair Ave, Suite 334, Marquette, MI 49855-2675 | 2006-06-17 |
| 1932144938 | Mark David Cowan | Internal Medicine | 1414 W Fair Ave, Suite 334, Marquette, MI 49855-2675 | 2006-06-17 |
| 1730123183 | Gary Merle Friesen | Internal Medicine | 1414 West Fair Avenue, Suite 334, Marquette, MI 49855 | 2006-06-16 |
| 1255375614 | Thomas Dale Legalley | Internal Medicine | 1414 West Fair Avenue, Suite 334, Marquette, MI 49855 | 2006-06-16 |
| 1588608947 | Gail Peters Brayden | Internal Medicine | 1414 West Fair Avenue, Suite 334, Marquette, MI 49855 | 2006-06-16 |
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|---|---|---|---|---|
| 1477154458 | Spectrum Health Primary Care Partners | Internal Medicine | 749 Phillips St, South Haven, MI 49090-1842 | 2020-11-05 |
| 1902413891 | Atria Vascular & Vein, Pllc | Internal Medicine | 32255 Northwestern Hwy Ste 115a, Farmington Hills, MI 48334-1566 | 2020-09-25 |
| 1538785415 | Lakes Cardiology PC | Internal Medicine | 9640 Commerce Rd Ste 106, Commerce Twp, MI 48382-4167 | 2020-06-17 |
| 1811468895 | Telemedico Physicians of Michigan | Internal Medicine | 24359 Northwestern Hwy Ste 200, Southfield, MI 48075-2597 | 2018-12-17 |
| 1639644305 | Metropolitan Cardiovascular | Internal Medicine | 28667 Bayberry Ct E, Livonia, MI 48154-3869 | 2018-10-09 |
| 1194202234 | Mvp Endovascular Center Pllc | Internal Medicine | 22720 Michigan Ave Ste 300, Dearborn, MI 48124-2035 | 2018-07-22 |
| 1366992059 | Renew Research LLC | Internal Medicine | 26800 Haggerty Rd, Farmington Hills, MI 48331-5715 | 2016-10-06 |
| 1972051530 | Michael Abdul-malek Do Pllc | Internal Medicine | 1380 Coolidge Hwy Ste 250, Troy, MI 48084-7067 | 2016-09-13 |
| 1205389384 | Elite Medical Enterprises, Inc. | Internal Medicine | 7750 Schaefer Rd Ste 202, Dearborn, MI 48126-1159 | 2016-07-26 |
| 1265803316 | Alpine Cardiology, Pllc | Internal Medicine | 101 E Mitchell St, Gaylord, MI 49735-1460 | 2015-10-15 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.