GENISIS SERVICES, INC (NPI# 1669906046) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669906046 |
| Entity Type | Organization |
| Organization Name | GENISIS SERVICES, INC |
| Practice Address |
15201 W Mcnichols Rd Detroit MI 48235-3717 |
| Practice Telephone | 2484442772 |
| Practice Fax Number | 2486812832 |
| Mailing Telephone | 3132793002 |
| Mailing Fax Number | 3133324134 |
| Enumeration Date | 2017-04-12 |
| Last Update Date | 2017-05-03 |
| Authorized Official Name | SHARJEEL KHAN (CEO) |
| Authorized Official Telephone | 2484442772 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| N | 101YS0200X |
Counselor Specialization: School |
Behavioral Health & Social Service Providers | ||
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| N | 251S00000X | Community/Behavioral Health | Agencies | ||
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 364SA2200X |
Clinical Nurse Specialist Specialization: Adult Health |
Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities | ||
| N | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
Ambulatory Health Care Facilities | ||
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| Street Address |
15201 W MCNICHOLS RD |
| City | DETROIT |
| State | MI |
| Zip Code | 48235-3717 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144365545 | George W Gibson | Obstetrics & Gynecology | 15201 W Mcnichols Rd, Detroit, MI 48235-3717 | 2007-02-21 |
| 1023673910 | T L Sea LLC | Clinic/Center | 15201 W Mcnichols Rd, Detroit, MI 48235-3717 | 2019-05-06 |
| 1912264045 | George W Gibson Do PC | Family Medicine | 15201 W Mcnichols Rd, Detroit, MI 48235-3717 | 2012-04-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457976292 | Ali Nauman Khan | Student in an Organized Health Care Education/Training Program | Detroit Medical Center-sinai Grace Hospital, 6071 W. Outer Driver, Detroit, MI 48235 | 2020-06-08 |
| 1629690565 | Faseeha Arshad Gondal | Student in an Organized Health Care Education/Training Program | Detroit Medical Center Sinai Grace Hospital, 6071 Outer Dr W. Detroit, Mi 48235, United States, Detroit, MI 48235 | 2020-05-14 |
| 1902428832 | Muhanad Abou Touk | Student in an Organized Health Care Education/Training Program | Dmc - Sinai Grace Hospital, Department of Internal Medi, 6071, W. Outer Drive, Detroit, MI 48235 | 2020-05-14 |
| 1780206730 | Ahmad Mismar | Student in an Organized Health Care Education/Training Program | Detroit Medical Center - Sinai Grace Hospital, Departme, 6071 West Outer Drive, Detroit, MI 48235 | 2020-05-13 |
| 1023630589 | Joao Paulo Fontana Bragagnollo | Student in an Organized Health Care Education/Training Program | 6071 W Outer Drive-sinai Grace Hospital, Department of Medicine 4th Floor M-406, Detroit, MI 48235 | 2020-05-07 |
| 1881216216 | Mohammad Awad Jaber | Student in an Organized Health Care Education/Training Program | 6071 W. Outer Drive, Dmc Sinai-grace Hospital, Detroit, MI 48235 | 2020-05-07 |
| 1366064818 | Syeda Busmah Owais | Student in an Organized Health Care Education/Training Program | 6071 Outer Drive, Sinai Grace Hospital, Department of I, Detroit, MI 48235 | 2020-05-07 |
| 1184245680 | Sushmitha Nanja Reddy | Student in an Organized Health Care Education/Training Program | Detroit Medcen Sinai Grace Hospital Dpt of Internal Med, 6071 W Outer Drive, Detroit, MI 48235 | 2020-05-06 |
| 1972164796 | Jack Phillip Tomen | Student in an Organized Health Care Education/Training Program | Sinai - Grace Hospital, 6071 Outer Drive W, Department of Medicine - 4 Main, Detroit, MI 48235 | 2019-06-24 |
| 1346809464 | Anusha Bapatla | Student in an Organized Health Care Education/Training Program | 4 Main, 6071 West Outer Drive, Sinai-grace Hospital, Department of Internal Medicine, Detroit, MI 48235 | 2019-06-12 |
| Find all providers in zip 48235 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215422555 | The Natural Momma Me Initiative | General Practice | 11000 W Mcnichols Rd Ste 212, Detroit, MI 48221-2389 | 2018-06-28 |
| 1629515770 | Pinnacle Medical Group | General Practice | 535 Griswold St Ste 212, Detroit, MI 48226-3604 | 2017-01-27 |
| 1104170281 | Bryant Medical Staffing Services Group Inc. | General Practice | 1753 E 7 Mile Rd, Detroit, MI 48203-2159 | 2012-10-29 |
| 1316290281 | Higher Standard Therapeutics Rehab PC | General Practice | 14402 Gratiot Ave., Detroit, MI 48205-2307 | 2012-10-17 |
| 1578845400 | Hands Helping You LLC | General Practice | 17181 Pontchartrain Blvd, Detroit, MI 48203-1774 | 2011-09-16 |
| 1487944385 | Better Days Adult Activity Center LLC | General Practice | 17251 Huntington Rd, Detroit, MI 48219-3520 | 2011-04-12 |
| 1669788121 | Az Medical Services Management LLC | General Practice | 7405 Puritan St, Detroit, MI 48238-1207 | 2010-08-23 |
| 1871720342 | Vernor Mc Inc | General Practice | 7649 W Vernor Hwy, Detroit, MI 48209-1513 | 2009-06-11 |
| 1003070723 | Mark Beard | General Practice | 5700 W Vernor Hwy, Detroit, MI 48209 | 2008-07-11 |
| 1184892754 | David Jonnalagadda Md PC | General Practice | 6001 W Outer Dr Ste 320, Detroit, MI 48235-2626 | 2008-02-15 |
| Find all providers in DETROIT | ||||
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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.