DR. GLENN GENOVESE (NPI# 1265439251) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265439251 |
| Entity Type | Individual |
| Full Name | DR. GLENN GENOVESE |
| Credential | MD |
| Practice Address |
709 Hollybrook Dr Ste 3400 Longview TX 75605-2412 |
| Mailing Address |
Po Box 50268 Denton TX 76206-0268 |
| Practice Telephone | 0397581464 |
| Mailing Telephone | 9404841500 |
| Mailing Fax Number | 9404841700 |
| Enumeration Date | 2005-07-05 |
| Last Update Date | 2020-09-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
H7302 | TX | Allopathic & Osteopathic Physicians |
| N | 207RS0012X |
Internal Medicine Specialization: Sleep Medicine |
H7302 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 129193206 | 05 |
| Street Address |
709 HOLLYBROOK DR STE 3400 |
| City | LONGVIEW |
| State | TX |
| Zip Code | 75605-2412 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184138901 | Chad Crossland | Nurse Practitioner | 709 Hollybrook Dr Ste 3400, Longview, TX 75605-2412 | 2017-12-01 |
| 1356683189 | Ala Nijim | Internal Medicine | 709 Hollybrook Dr Ste 3400, Longview, TX 75605-2412 | 2013-03-19 |
| 1942453477 | Annette Richmond Mcfarland | Nurse Practitioner | 709 Hollybrook Dr Ste 3400, Longview, TX 75605-2412 | 2008-10-28 |
| 1518168160 | Venkatesh Babu Donty | Internal Medicine | 709 Hollybrook Dr Ste 3400, Longview, TX 75605-2412 | 2007-05-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194353730 | Dusty Rae Hane | Nurse Practitioner | Diagnostic Clinic of Longview, 2901 N Fourth St, Longview, TX 75605 | 2020-03-30 |
| 1831720374 | Kaycee Whatley | Nurse Practitioner | 323 W Hawkins Parkway, Longview, TX 75605 | 2020-02-03 |
| 1245733492 | Somers Pediatrics | Pediatrics | 103 W. Loop 281, Suite 474, Longview, TX 75605 | 2018-03-14 |
| 1467838391 | Piney Woods Er II LLC | Clinic/Center | 120 East Loop 281, Longview, TX 75605 | 2015-08-03 |
| 1386023968 | Elizabeth Ann Heeb Tidwell | Obstetrics & Gynecology | 802 Medical Dr Ste 100, Longview, TX 75605 | 2015-05-28 |
| 1215353651 | Tracy Hicks | Nurse Practitioner | 102 Commander Dr Ste 9, Longview, TX 75605 | 2014-03-10 |
| 1073881280 | Deirdre Scotter | Specialist/Technologist | 201 E Tomlinson Pkwy, Longview, TX 75605 | 2011-12-02 |
| 1316230139 | Traditions Hospice of Longview, LLC | Hospice Care, Community Based | 4362 N Us Hwy 259, Suite B, Longview, TX 75605 | 2011-05-26 |
| 1184916769 | Telema Dikibujiri Nga | Pediatrics | Longview Regional Medical Center, 2901 North Fourth Street, Longview, TX 75605 | 2011-05-13 |
| 1902101108 | The Veta Lewis Behavioral Health Group | Counselor | 1800 S. Judson St., Suite 100, Longview, TX 75605 | 2011-01-19 |
| Find all providers in zip 75605 | ||||
| Taxonomy Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://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 |
|---|---|---|---|---|
| 1124101589 | Baher Elhalwagi, Md, Pa | Internal Medicine | 1005 Lovers Ln, Longview, TX 75604-2855 | 2006-10-21 |
| 1598724940 | Rama Devi Nayini | Internal Medicine | 915 N 4th St, Longview, TX 75601-5416 | 2006-03-22 |
| 1356683189 | Ala Nijim | Internal Medicine | 709 Hollybrook Dr Ste 3400, Longview, TX 75605-2412 | 2013-03-19 |
| 1033419353 | Adam J. Yu, M.d,,p.a. | Internal Medicine | 703 E Marshall Ave Ste 3008, Longview, TX 75601-5500 | 2010-11-03 |
| 1679732549 | Gautam Baskaran | Internal Medicine | 703 E Marshall Ave, Suite 3008, Longview, TX 75601-5500 | 2008-06-05 |
| 1053539692 | Jeffrey M. Shea, Md, Pa | Internal Medicine | 709 Hollybrook Dr, Suite 3400, Longview, TX 75605-2411 | 2007-04-20 |
| 1609914779 | Isn Longview Associates | Internal Medicine | 109 W Hoyt Dr, Longview, TX 75601-3614 | 2007-02-02 |
| 1972658425 | Jeffrey Michael Shea | Internal Medicine | 707 Hollybrook Dr, Longview, TX 75605-2410 | 2007-01-24 |
| 1306891601 | Adrian Bucerzan | Internal Medicine | 1615 Delaware St, Longview, WA 98632-2367 | 2006-05-24 |
| 1750340097 | Krishna Reddy & Rama D Nayini,ptr-east Texas Heart & Lung Clinic | Internal Medicine | 915 N 4th St, Longview, TX 75601-5416 | 2006-03-23 |
| Find all providers in LONGVIEW | ||||
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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.