GENESYS REGIONAL MEDICAL CENTER (NPI# 1184872400) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184872400 |
| Entity Type | Organization |
| Organization Name | GENESYS REGIONAL MEDICAL CENTER |
| Other Organization Name | WATERFORD TEEN HEALTH CENTER |
| Practice Address |
2989 Van Zandt Rd Waterford MI 48329-3360 |
| Practice Telephone | 2486744876 |
| Practice Fax Number | 2486746349 |
| Mailing Telephone | 2486744876 |
| Mailing Fax Number | 2486746349 |
| Enumeration Date | 2008-08-28 |
| Last Update Date | 2008-08-28 |
| Authorized Official Name | MISS BRENDA L MCCULLOCH (BILLING AND TA COORDINATOR) |
| Authorized Official Telephone | 5179080847 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QS1000X |
Clinic/Center Specialization: Student Health |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| WATERFORD TEEN HEALTH CENTER | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124274329 | Genesys Regional Medical Center | Clinic/Center | 235 Tree Top Cir Apt 206, Auburn Hills, MI 48326-1185 | 2008-08-07 |
| 1538386909 | Genesys Regional Medical Center | Pediatrics | 4642 Genesys Parkway, Grand Blanc, MI 48439-8067 | 2007-04-19 |
| 1306963053 | Genesys Regional Medical Center | Pediatrics | 4642 Genesys Pkwy, Grand Blanc, MI 48439-8067 | 2007-03-26 |
| 1225580301 | Genesys Regional Medical Center | Clinic/Center | 1 Genesys Pkwy, Grand Blanc, MI 48439-8065 | 2016-10-25 |
| 1861807349 | Genesys Regional Medical Center | Internal Medicine | 2620 Genesys Pkwy, Grand Blanc, MI 48439-7326 | 2014-06-24 |
| 1669808689 | Genesys Regional Medical Center | Clinic/Center | 1 Genesys Pkwy, Grand Blanc, MI 48439-8065 | 2013-09-23 |
| 1104165430 | Genesys Regional Medical Center | Clinic/Center | 1 Genesys Pkwy, Grand Blanc, MI 48439-8065 | 2013-02-06 |
| 1164714184 | Genesys Regional Medical Center | Internal Medicine | 3399 Pollock Rd, Grand Blanc, MI 48439-8395 | 2011-05-10 |
| 1528215837 | Genesys Regional Medical Center | Pediatrics | 4642 Genesys Pkwy, Grand Blanc, MI 48439-8067 | 2008-08-19 |
| 1194907204 | Genesys Regional Medical Center | Pediatrics | 4642 Genesys Pkwy, Grand Blanc, MI 48439-8067 | 2007-11-30 |
| Street Address |
2989 VAN ZANDT RD |
| City | WATERFORD |
| State | MI |
| Zip Code | 48329-3360 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245569607 | Oakland Primary Health Services, Inc | Clinic/Center | 2989 Van Zandt Rd, Waterford, MI 48329-3360 | 2009-12-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386124139 | Melissa A Blake | Occupational Therapist | 3257 Whitfield Ct, Waterford, MI 48329 | 2018-08-20 |
| 1932699741 | Julianne Marie Fittonneville | Counselor | 4000 W Walton Blvd Ste A&b, Waterford, MI 48329 | 2018-05-16 |
| 1730615717 | Innovative Lifestyles, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5490 Dixie Hwy, Suite 1, Waterford, MI 48329 | 2017-05-11 |
| 1841670502 | Kayla Brianne Dandino | Speech-Language Pathologist | 5601 Hatchery Rd., Waterford Township, MI 48329 | 2015-06-08 |
| 1093122400 | Caring 4 Loved Ones, Inc | Registered Nurse | 3549 Lakeshore Dr., Waterford, MI 48329 | 2014-07-17 |
| 1124448329 | Michael Alan Watson | Emergency Medicine | 5826 Dixie Hwy, Waterford Township, MI 48329 | 2014-04-27 |
| 1417263120 | Metro Imaging Center Plc | Dentist | 4664 W. Walton Blvd., Waterford, MI 48329 | 2010-08-19 |
| 1225278013 | S.e.t. Footcare, P.C. | Podiatrist | 4396-1 Dixie Hwy, Waterford, MI 48329 | 2009-03-06 |
| 1962556498 | Mark Andrew Laszlo | Dentist | 4624 Walton Blvd, Waterford, MI 48329 | 2007-01-22 |
| 1437211927 | Pankajini N Doshi | Pediatrics | 4299 Roseberry Ct, Waterford, MI 48329 | 2006-12-14 |
| Find all providers in zip 48329 | ||||
| Taxonomy Code | 261QS1000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Student Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245569607 | Oakland Primary Health Services, Inc | Clinic/Center | 2989 Van Zandt Rd, Waterford, MI 48329-3360 | 2009-12-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366064651 | Donna Parnell | Clinic/Center | 214 N Christine Cir, Mount Clemens, MI 48043-1509 | 2020-05-11 |
| 1669759437 | Baldwin Family Health Care | Clinic/Center | 96 E 120th St Rm N8, Grant, MI 49327-8502 | 2011-11-08 |
| 1134398027 | Southeastern Michigan Health Association | Clinic/Center | 11447 Joseph Campau, Hamtramck, MI 48212 | 2008-02-25 |
| 1316160971 | Leslie Medical Center P C | Clinic/Center | 207 E Bellevue St, Leslie, MI 49251-9373 | 2007-04-11 |
| 1538287313 | Great Lakes Bay Health Centers | Clinic/Center | 3100 Webber St, Saginaw, MI 48601-4066 | 2007-03-27 |
| 1033253794 | Children's Ambulatory Services, LLC | Clinic/Center | 21431 Grand River Ave, Detroit, MI 48219-3801 | 2007-02-16 |
| 1467950758 | Regents of The Universtiy of Michigan | Clinic/Center | 1500 E Medical Center Dr, Ann Arbor, MI 48109-5000 | 2018-02-01 |
| 1609147339 | Calvin College | Clinic/Center | 3195 Knight Way Se, Grand Rapids, MI 49546-4409 | 2012-01-26 |
| 1790067338 | Baldwin Family Health Care | Clinic/Center | 555 E Wilcox Ave, White Cloud, MI 49349 | 2011-09-09 |
| 1700033859 | Northwestern Michigan College | Clinic/Center | 1701 E Front St, L.b. 106, Traverse City, MI 49686-3016 | 2008-08-20 |
| 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.