GENESIS HEALTH SYSTEM (NPI# 1225132640) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225132640 |
| Entity Type | Organization |
| Organization Name | GENESIS HEALTH SYSTEM |
| Other Organization Name | GENESIS HEALTH GROUP |
| Practice Address |
1410 7th St Moline IL 61265-2916 |
| Mailing Address |
865 Lincoln Rd Suite L10 Bettendorf IA 52722-4190 |
| Practice Telephone | 3097649404 |
| Practice Fax Number | 3097649406 |
| Mailing Telephone | 5633559191 |
| Mailing Fax Number | 5633553419 |
| Enumeration Date | 2006-09-08 |
| Last Update Date | 2009-09-28 |
| Authorized Official Name | MR. MARK G ROGERS (VICE PRESIDENT OF FINANCE) |
| Authorized Official Telephone | 5634216513 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DMERC | 5727210020 | 01 |
| Other Name | Type Code |
|---|---|
| Genesis Health Group | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255692836 | Genesis Health System | Clinic/Center | 1025 30th St, Rock Island, IL 61201-2804 | 2012-05-31 |
| 1902107261 | Genesis Health System | Clinic/Center | 2451 Coral Ct, Suite 1, Coralville, IA 52241-2837 | 2010-11-03 |
| 1902060544 | Genesis Health System | Surgery | 855 Illini Dr Ste 401, Silvis, IL 61282-2904 | 2008-07-14 |
| 1528177672 | Genesis Health System | Family Medicine | 3827 W Locust St, Davenport, IA 52804-3011 | 2006-08-30 |
| 1770699043 | Genesis Health System | Family Medicine | 205 11th St, Port Byron, IL 61275-9037 | 2006-08-21 |
| 1386750537 | Genesis Health System | Family Medicine | 532 N Cody Rd, Leclaire, IA 52753-9645 | 2006-08-21 |
| 1447204375 | Genesis Health System | Long Term Care Hospital | 1455 Hospital Rd, Silvis, IL 61282-1834 | 2006-05-22 |
| 1679525562 | Genesis Health System | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1236 E Rusholme St Ste 150, Davenport, IA 52803-2433 | 2006-05-17 |
| 1538110218 | Genesis Health System | Clinic/Center | 2350 41st St, Moline, IL 61265-5014 | 2006-05-15 |
| 1417908690 | Genesis Health System | Home Health | 611 N 2nd St, Clinton, IA 52732-3839 | 2006-05-13 |
| Street Address |
1410 7TH ST |
| City | MOLINE |
| State | IL |
| Zip Code | 61265-2916 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861035438 | Ora Orthopedics, PC | Orthopaedic Surgery | 510 Valley View Drive, Moline, IL 61265 | 2019-10-25 |
| 1598231698 | Secure Dental Vi | Dentist | 106 16th St, Unit #90, Moline, IL 61265 | 2018-10-17 |
| 1487152088 | Fjellheim P.c | Chiropractor | 1535 47th Avenue, Suite 5, Moline, IL 61265 | 2018-01-29 |
| 1326567199 | Elizabeth Ann Teichler | Respiratory Therapist, Registered | 4360 7th Street, Moline, IL 61265 | 2017-09-13 |
| 1497279913 | Caroline M Mather | Behavioral Analyst | 2430 6th Avenue, Moline, IL 61265 | 2017-07-26 |
| 1639625239 | Elizabeth Anderson | Nurse's Aide | 4319 26th Ave Apt 1, Moline, IL 61265 | 2016-09-01 |
| 1437604154 | Lindsey Bollaert | Nurse Practitioner | 1100 36th Ave, Moline, IL 61265 | 2016-08-23 |
| 1437541869 | Divvymed, LLC | Pharmacy | 4300 44th Ave, Moline, IL 61265 | 2015-02-23 |
| 1477955250 | Todd Stone | Nurse Practitioner | 1100 3th Avenue, Moline, IL 61265 | 2014-09-23 |
| 1588084479 | Familia Dental Moline LLC | Dentist | 1102 4th Ave, Moline, IL 61265 | 2014-04-18 |
| Find all providers in zip 61265 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154741825 | Nandita Alla | Family Medicine | 600 John Deere Rd Ste 401, Moline, IL 61265-6812 | 2014-04-22 |
| 1922329507 | Nicole M Chickris-bollaert | Family Medicine | 5401 44th Avenue Dr Ste 101, Moline, IL 61265-8126 | 2010-06-17 |
| 1235105826 | Miramar S Prasad | Family Medicine | 5401 44th Avenue Drive, Suite 100, Moline, IL 51265-6401 | 2006-02-24 |
| 1841262367 | Patricia Dunbar | Family Medicine | 555 Valley View Dr, Concentra, Moline, IL 61265-6138 | 2006-02-07 |
| 1912979147 | James Mason Bain | Family Medicine | 106 19th Ave, Suite 103, Moline, IL 61265-3700 | 2006-02-02 |
| 1285613778 | Eric A Alfon | Family Medicine | 4322 7th St, Moline, IL 61265-6867 | 2006-01-12 |
| 1659376473 | Bernie E. Elliott | Family Medicine | 1300 River Dr, Suite 200, Moline, IL 61265-1356 | 2005-06-17 |
| 1619972999 | Dawn M Bode | Family Medicine | 3900 28th Avenue Dr, Suite 200, Moline, IL 61265-5536 | 2005-06-14 |
| 1700880374 | Bruce C Steffens | Family Medicine | 7111 36th Avenue A Ct, Moline, IL 61265-8043 | 2005-06-10 |
| 1003470865 | Tracy L Bier | Family Medicine | 106 19th Ave, Moline, IL 61265-3700 | 2019-04-26 |
| Find all providers in MOLINE | ||||
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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.