GLENN GENOVESE MD PA


Address: 3120 Medpark Dr, Suite 150, Corinth, TX 76208-6981
Phone: 9404841500

GLENN GENOVESE MD PA (NPI# 1144228636) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1144228636
Entity Type Organization
Organization Name GLENN GENOVESE MD PA
Practice Address 3120 Medpark Dr
Suite 150
Corinth
TX 76208-6981
Mailing Address Po Box 50268
Denton
TX 76206-0268
Practice Telephone 9404841500
Practice Fax Number 9404841700
Mailing Telephone 9404841500
Mailing Fax Number 9404841700
Enumeration Date 2005-07-08
Last Update Date 2012-02-07
Authorized Official Name DR. GLENN GENOVESE (MD/OWNER)
Authorized Official Telephone 9404841500
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207RP1001X Internal Medicine
Specialization: Pulmonary Disease
H7302 TX Allopathic & Osteopathic Physicians
Y 207RS0012X Internal Medicine
Specialization: Sleep Medicine
H7302 TX Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
TX 169371502 05

Office Location

Street Address 3120 MEDPARK DR
SUITE 150
City CORINTH
State TX
Zip Code 76208-6981

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Taxonomy Information

Taxonomy Code 207RS0012X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Sleep Medicine

Taxonomy Definition

An Internist who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep specialists treat patients of any age and use multidisciplinary approaches. Disorders managed by sleep specialists include, but are not limited to, sleep related breathing disorders, insomnia, hypersomnias, circadian rhythm sleep disorders, parasomnias and sleep related movement disorders.
Notes: Source: American Academy of Sleep Medicine, www.aasm.org [7/1/2006: new]

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Competitor

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City CORINTH
Zip Code 76208

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Dataset Information

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.

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