GENESIS HEALTH SYSTEM (NPI# 1679525562) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1679525562 |
Entity Type | Organization |
Organization Name | GENESIS HEALTH SYSTEM |
Other Organization Name | GENESIS MEDICAL CENTER - CVT SURGERY |
Practice Address |
1236 E Rusholme St Ste 150 Davenport IA 52803-2433 |
Practice Telephone | 5634213990 |
Practice Fax Number | 5634213933 |
Mailing Telephone | 5634213990 |
Mailing Fax Number | 5634213933 |
Enumeration Date | 2006-05-17 |
Last Update Date | 2007-07-27 |
Authorized Official Name | MR. MARK J. KLEINSCHMIDT (VICE PRESIDENT OF FINANCE) |
Authorized Official Telephone | 5634216513 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IA | 1600338 | 05 |
Other Name | Type Code |
---|---|
Genesis Medical Center - CVT Surgery | 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 |
1225132640 | Genesis Health System | Family Medicine | 1410 7th St, Moline, IL 61265-2916 | 2006-09-08 |
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 |
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 |
1236 E RUSHOLME ST STE 150 |
City | DAVENPORT |
State | IA |
Zip Code | 52803-2433 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588717714 | Genesis Medical Center | General Acute Care Hospital | 1236 E Rusholme St Ste 150, Davenport, IA 52803-2473 | 2007-01-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679189971 | Amber Rae Rupiper | Physician Assistant | 518 Locus Street, Davenport, IA 52803 | 2020-09-22 |
1558869321 | Devan Louis Depauw | Physician Assistant | 1227 East Rusholme St., Davenport, IA 52803 | 2018-01-26 |
1215383070 | Brittney N Hughes | Nurse Practitioner | 1228 E Rusholme Street, Suite 3020, Davenport, IA 52803 | 2016-05-11 |
1992138747 | Sarah Beth Schlickman | Nurse Practitioner | 1228 E Rusholme St Ste 3020, Davenport, IA 52803 | 2013-08-15 |
1154763845 | Leslie A Poston | Nurse Practitioner | 1228 E. Rushome Street, Mob I, Suite 2100, Davenport, IA 52803 | 2013-07-23 |
1083878896 | Jolene Marie Dague | Dentist | 1905 N. Main St, Davenport, IA 52803 | 2008-07-11 |
1952436370 | Joann C Milani | Psychologist | 1503 Brady Street, Davenport, IL 52803 | 2007-02-23 |
1942343579 | Lisa Clare Ploehn | Pharmacist | 129 West Locust Street, Davenport, IA 52803 | 2007-02-14 |
1366597957 | Cathleen Ann Clark | Social Worker | 1706 N Brady, Suite 204, Davenport, IA 52803 | 2007-01-24 |
1184781940 | William Burke Ltd | Durable Medical Equipment & Medical Supplies | 129 West Locust, Davenport, IA 52803 | 2007-01-02 |
Find all providers in zip 52803 |
Taxonomy Code | 208G00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Thoracic Surgery (Cardiothoracic Vascular Surgery) |
A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Thoracic Surgery, 2007. http://www.abts.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Thoracic Surgery. Thoracic surgeons have the knowledge, experience and technical skills to accurately diagnose, operate upon safely, and effectively manage patients with thoracic diseases of the chest. This requires substantial knowledge of cardiorespiratory physiology and oncology, as well as capability in the use of heart assist devices, management of abnormal heart rhythms and drainage of the chest cavity, respiratory support systems, endoscopy and invasive and noninvasive diagnostic techniques. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578734497 | Sunshine Thoracic Surgery Pl | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 121 Webb Dr, Suite #300, Davenport, FL 33837-3904 | 2008-03-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518504398 | Center for Vein Restoration Ia Pllc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 505 Cedar Cross Rd Ste A, Dubuque, IA 52003-7704 | 2019-11-29 |
1871997759 | Steven Joseph Phillips | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 8081 Cobblestone Rd, Urbandale, IA 50322-4422 | 2014-10-21 |
1982973970 | Chamnahn Kongtahworn | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 12950 Woodlands Pkwy, Clive, IA 50325-8748 | 2011-12-20 |
1881743581 | Iowa City Cardiovascular Surgery Plc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 540 E Jefferson St Ste 304, Iowa City, IA 52245-2479 | 2007-01-10 |
1013960129 | Eromosele Anthony Otoadese | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1753 W Ridgeway Ave Ste 111, Waterloo, IA 50701-4588 | 2006-05-18 |
1922056894 | Mark W Nielsen | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 4630 Singing Hills Blvd, Suite A, Sioux City, IA 51106-9702 | 2006-05-04 |
1245296664 | Marco Ricci | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 200 Hawkins Drive University of Iowa, Iowa City, IA 52243-1005 | 2006-04-25 |
1760461032 | Christopher Carl Peters | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2751 Oakdale Blvd, Suite #2, Coralville, IA 52241-9749 | 2006-01-13 |
1730702853 | Marian Hohenwarter | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 200 Hawkins Dr, Dept of Thoracic Surgery, Iowa City, IA 52242-1009 | 2020-05-22 |
1437523024 | Yuki Nakamura | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2015-11-19 |
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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.