GENESIS HEALTH SYSTEM


Address: 1236 E Rusholme St Ste 150, Davenport, IA 52803-2433
Phone: 5634213990

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
IA 1600338 05

Other Provider/Organization Names

Other Name Type Code
Genesis Medical Center - CVT Surgery Doing Business As Name - Organization

Other Provider IDs and Locations

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

Office Location

Street Address 1236 E RUSHOLME ST STE 150
City DAVENPORT
State IA
Zip Code 52803-2433

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 208G00000X
Grouping Allopathic & Osteopathic Physicians
Classification Thoracic Surgery (Cardiothoracic Vascular Surgery)

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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
Find all providers with the same taxonomy

Competitor

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City DAVENPORT
Zip Code 52803

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Dataset Information

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.

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