GENESIS ELDER CARE PHYSICIAN SERVICES LLC (NPI# 1447510714) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447510714 |
| Entity Type | Organization |
| Organization Name | GENESIS ELDER CARE PHYSICIAN SERVICES LLC |
| Practice Address |
200 Civic Ave Salisbury MD 21804-4599 |
| Mailing Address |
Po Box 42738 Towson MD 21284-2738 |
| Practice Telephone | 4107491466 |
| Mailing Telephone | 4104947607 |
| Mailing Fax Number | 6109257387 |
| Enumeration Date | 2012-05-21 |
| Last Update Date | 2018-04-12 |
| Authorized Official Name | ERIC SHAPIRO (VP, AREA CONTROLLER) |
| Authorized Official Telephone | 4108327790 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 314000000X | Skilled Nursing Facility | R188822 | MD | Nursing & Custodial Care Facilities |
| Y | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194774943 | Genesis Elder Care Physician Services LLC | Nurse Practitioner | 660 Commonwealth Avenue, Warwick, RI 02886-2707 | 2006-05-09 |
| 1245579762 | Genesis Elder Care Physician Services LLC | Internal Medicine | 6508 Deer Pointe Dr Ste A, Salisbury, MD 21804 | 2013-02-04 |
| 1326283045 | Genesis Elder Care Physician Services LLC | Internal Medicine | 6508 Deer Pointe Dr, Suite A, Salisbury, MD 21804-1668 | 2008-12-09 |
| 1285653451 | Genesis Elder Care Physician Services LLC | Family Medicine | 161 Bakers Ridge Rd, Morgantown, WV 26508-1459 | 2006-07-19 |
| Street Address |
200 CIVIC AVE |
| City | SALISBURY |
| State | MD |
| Zip Code | 21804-4599 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336115500 | William Robins | Internal Medicine | 200 Civic Ave, Salisbury, MD 21804-4599 | 2006-02-27 |
| 1366067555 | Belinda Tyler | Nurse Practitioner | 200 Civic Ave, Salisbury, MD 21804-4599 | 2020-06-12 |
| 1194358135 | Cynthia Alison Anders | Physical Therapy Assistant | 200 Civic Ave, Salisbury, MD 21804-4599 | 2020-02-18 |
| 1508345612 | Deanna Schloemer | Nurse Practitioner | 200 Civic Ave, Salisbury, MD 21804-4599 | 2018-08-09 |
| 1063907954 | Hannah Susan King | Speech-Language Pathologist | 200 Civic Ave, Salisbury, MD 21804-4599 | 2018-06-25 |
| 1477073898 | Jennifer L King | Physical Therapy Assistant | 200 Civic Ave, Salisbury, MD 21804-4599 | 2017-06-27 |
| 1508311572 | Caitlin Cook | Physical Therapy Assistant | 200 Civic Ave, Salisbury, MD 21804-4599 | 2016-08-19 |
| 1750734919 | Lindsey Danielle Parker | Nurse Practitioner | 200 Civic Ave, Salisbury, MD 21804-4599 | 2016-07-22 |
| 1285084442 | Emily Rodgers | Student in an Organized Health Care Education/Training Program | 200 Civic Ave, Salisbury, MD 21804-4599 | 2016-06-20 |
| 1629425889 | Peninsula Regional/genesis Eldercare LLC | Occupational Therapist | 200 Civic Ave, Salisbury, MD 21804-4599 | 2016-05-18 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578125969 | Lifes Energy Wellness Center Inc. | Community/Behavioral Health | 2324 West Zion Road Suite, Suite 112, Salisbury, MD 21804 | 2019-07-05 |
| 1578125340 | Lifes Energy Wellness Center Inc. | Counselor | 2324 West Zion Road Suite 112, Suite 112, Salisbury, MD 21804 | 2019-07-02 |
| 1093377855 | Lifes Energy Wellness Center Inc. | Clinic/Center | 2324 West Zion Road Suite #112, Salisbury, MD 21804 | 2019-07-02 |
| 1356904874 | Carly Showell Finkbeiner | Behavioral Analyst | 30507 Foxchase Dr, Salisbury, MD 21804 | 2019-04-19 |
| 1750844940 | Clifton Waters | Driver | 206 Davis St, Salisbury, MD 21804 | 2019-04-13 |
| 1487125415 | Rebecca J. Raygor | Social Worker | Wicomico High School, 201 Long Ave., Salisbury, MD 21804 | 2018-12-17 |
| 1639662745 | Peninsula Physical Therapy, LLC | Physical Therapist | 720 E College Ave Ste 11, Salisbury, MD 21804 | 2018-06-13 |
| 1376079533 | Kerry Choplin | Behavior Technician | 8032 Snow Hill Rd., Salisbury, MD 21804 | 2017-05-10 |
| 1558892992 | Three Lower Counties Community Services, Inc. | Clinic/Center | 1647 Woodbrooke Drive, Salisbury, MD 21804 | 2017-03-27 |
| 1508304759 | Driven Physiotherapy, LLC | Clinic/Center | 1029 Zircon Ct., Salisbury, MD 21804 | 2017-02-08 |
| Find all providers in zip 21804 | ||||
| Taxonomy Code | 207RG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Geriatric Medicine |
| An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. |
| 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 |
|---|---|---|---|---|
| 1043409659 | Dr. Asma Al-hamid, P.C. | Internal Medicine | 106 Pine Bluff Rd, Suite 12, Salisbury, MD 21801-7161 | 2007-10-19 |
| 1427156025 | Parag Shanti Dalsania | Internal Medicine | 1601 Brenner Ave, Vamc, Primcary Care Service Line - 11a, Salisbury, NC 28144-2515 | 2006-09-20 |
| 1568432797 | Ghulam Waris | Internal Medicine | 926 Snow Hill Rd, Salisbury, MD 21804-1939 | 2006-01-23 |
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|---|---|---|---|---|
| 1407409253 | Health Practice Partners LLC | Internal Medicine | 8028 Ritchie Hwy Ste 210b, Pasadena, MD 21122-1059 | 2019-07-22 |
| 1437613163 | Johns Hopkins University | Internal Medicine | 5210 Eastern Avenue, Alpha Center, Baltimore, MD 21224 | 2019-01-28 |
| 1598252371 | Wayne Medical Associate, Inc. | Internal Medicine | 7207 Hanover Pkwy Ste A, Greenbelt, MD 20770-2089 | 2018-04-17 |
| 1649775933 | Old Fashion Medicine, Inc | Internal Medicine | 95 Gatepost Lane, Apartment 1b, Frederick, MD 21701 | 2018-03-28 |
| 1982102943 | 3s Health LLC | Internal Medicine | 10400 Connecticut Ave Ste 206, Kensington, MD 20895-3941 | 2018-01-24 |
| 1225572233 | Pamela Denise Ponder | Internal Medicine | 2603 Portola Court, Odenton, MD 21113 | 2016-12-09 |
| 1912371832 | Phillip W. Stone, Md, LLC | Internal Medicine | 16013 Fields End Ct, Woodbine, MD 21797-7542 | 2015-11-16 |
| 1598023194 | Health First Medical Care LLC | Internal Medicine | 9650 Santiago Rd Ste 6, Columbia, MD 21045-3960 | 2012-05-02 |
| 1609141795 | Mattan Schuchman | Internal Medicine | 5210 Eastern Ave, Alpha Center #127, Baltimore, MD 21224 | 2012-03-21 |
| 1013204171 | Chantal Youssef | Internal Medicine | 13105 Bucks Ridge Ct, Ellicott City, MD 21042 | 2011-07-08 |
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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.