GENESYS REGIONAL MEDICAL CENTER (NPI# 1306963053) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306963053 |
| Entity Type | Organization |
| Organization Name | GENESYS REGIONAL MEDICAL CENTER |
| Practice Address |
4642 Genesys Pkwy Grand Blanc MI 48439-8067 |
| Mailing Address |
Po Box 2015 Flint MI 48501-2015 |
| Practice Telephone | 8106065830 |
| Practice Fax Number | 8106065639 |
| Mailing Telephone | 8106065830 |
| Mailing Fax Number | 8106065639 |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2008-04-20 |
| Authorized Official Name | RICHARD LABAERE DO (MEDICAL EDUCATION DIRECTOR) |
| Authorized Official Telephone | 8107154300 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians | ||
| Y | 2080P0202X |
Pediatrics Specialization: Pediatric Cardiology |
========= | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | HEALTHPLUS ID NUMBER | 3G00009 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184872400 | Genesys Regional Medical Center | Clinic/Center | 2989 Van Zandt Rd, Waterford, MI 48329-3360 | 2008-08-28 |
| 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 |
| 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 |
4642 GENESYS PKWY |
| City | GRAND BLANC |
| State | MI |
| Zip Code | 48439-8067 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073866216 | Loui Lea Brickey | Registered Nurse | 4642 Genesys Pkwy, Grand Blanc, MI 48439-8067 | 2012-10-25 |
| 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 |
| 1477735587 | Genesys Regional Medical Center | Pediatrics | 4642 Genesys Pkwy, Grand Blanc, MI 48439-8067 | 2007-11-30 |
| 1710104187 | Genesys Regional Medical Center | Pediatrics | 4642 Genesys Pkwy, Grand Blanc, MI 48439-8067 | 2007-04-19 |
| 1629295092 | Genesys Regional Medical Center | Pediatrics | 4642 Genesys Pkwy, Grand Blanc, MI 48439-8067 | 2007-04-19 |
| 1992922363 | Genesys Regional Medical Center | Pediatrics | 4642 Genesys Pkwy, Grand Blanc, MI 48439-8067 | 2007-04-19 |
| 1801013271 | Genesys Regional Medical Center | Pediatrics | 4642 Genesys Pkwy, Grand Blanc, MI 48439-8067 | 2007-04-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811598931 | Fady Essi | Pharmacist | 6160 S Saginaw Road, Grand Blanc, 48439, USA 48439 | 2020-11-04 |
| 1407456254 | Bradley Dwane Murphy | Pharmacist | 6170 S Saginaw, Grand Blanc, MI 48439 | 2020-10-30 |
| 1457975476 | Lauren Nicole Holmes | Obstetrics & Gynecology | Gme Department, 1 Genesys Pkwy, Grand Blanc, MI 48439 | 2020-06-05 |
| 1366063927 | Hadeel Ghazi Barrawi | Family Medicine | Ascension Genesys Hospital, Office of Medical Education, One Genesys Parkway, Grand Blanc, MI 48439 | 2020-05-05 |
| 1245851427 | Adriana Sharp | Surgery | 1 Genesys, Grand Blanc, MI 48439 | 2020-04-29 |
| 1114485109 | Kristen Milefchik | Case Manager/Care Coordinator | 278 Fox Chase Blvd, Grand Blanc, MI 48439 | 2019-03-08 |
| 1588134175 | Audrie Brook Mullin | Registered Nurse | 2313 E. Hill Rd, Grand Blanc, MI 48439 | 2018-11-27 |
| 1457845703 | Michael Patrick Tuczynski | Family Medicine | One Genesys Parkway Ascension Genesys Hospital, Attn: Debra Shuck, Grand Blanc, MI 48439 | 2018-06-20 |
| 1104318112 | Wellbridge At Genesys Health Park, LLC | Skilled Nursing Facility | 3139 East Baldwin Road, Grand Blanc, MI 48439 | 2018-06-05 |
| 1336648393 | Raedeane Kenway | Dental Hygienist | 8542 Holly Rd, Grand Blanc, MI 48439 | 2018-02-06 |
| Find all providers in zip 48439 | ||||
| Taxonomy Code | 2080P0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Cardiology |
| A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508167057 | Spectrum Health Hospitals | Pediatrics | 8273 S Saginaw St, Suite B, Grand Blanc, MI 48439-2465 | 2010-11-15 |
| 1225349699 | Ascension Genesys Hospital | Pediatrics | 1 Genesys Pkwy, Grand Blanc, MI 48439-8065 | 2010-06-30 |
| 1992922363 | Genesys Regional Medical Center | Pediatrics | 4642 Genesys Pkwy, Grand Blanc, MI 48439-8067 | 2007-04-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801453287 | Pediatric Cardiology of Southeastren Michigan | Pediatrics | 1934 Bluff Ct, Troy, MI 48098-6616 | 2019-05-21 |
| 1417222779 | Sujatha Buddhe | Pediatrics | 2289 Dorchester Dr N Apt 203, Troy, MI 48084-3723 | 2012-03-19 |
| 1316244304 | Rossitza Prokopieva Pironkova | Pediatrics | 43380 Woodward Ave Ste 105, Bloomfield Hills, MI 48302-5050 | 2011-02-28 |
| 1881709871 | Hani Zreik | Pediatrics | 900 Cooper Avenue, Suite 4200, Saginaw, MI 48602-5394 | 2006-08-20 |
| 1326080102 | James Lee Christiansen | Pediatrics | 1414 West Fair Ave, Ste 334, Marquette, MI 49855 | 2006-06-13 |
| 1700826542 | James L Christiansen Md PC | Pediatrics | 1414 West Fair Avenue, Suite 334, Marquette, MI 49855 | 2006-06-08 |
| 1679511737 | Richard A. Humes | Pediatrics | 3901 Beaubien Blvd -, Childrens Hospital of Michigan 4th Fl, Detroit, MI 48201 | 2006-06-02 |
| 1174560668 | Peter P. Karpawich | Pediatrics | 3901 Beaubien - 4th Fl, Childrens Hospital of Michigan, Detroit, MI 48201 | 2006-06-01 |
| 1013977115 | Elliott Weinhouse | Pediatrics | 3535 W 13 Mile Rd Ste 108, Royal Oak, MI 48073-6770 | 2006-03-24 |
| 1770551301 | Hanna Michel Khouri | Pediatrics | 43380 Woodward Ave, Ste 105, Bloomfield Hills, MI 48302 | 2006-03-09 |
| Find all providers with the same taxonomy | ||||
| City | GRAND BLANC |
| Zip Code | 48439 |
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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.