GENESIS ELDERCARE PHYSICIAN SERVICES LLC (NPI# 1699710202) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699710202 |
| Entity Type | Organization |
| Organization Name | GENESIS ELDERCARE PHYSICIAN SERVICES LLC |
| Practice Address |
11 Dairy Ln Fredericksburg VA 22405-2663 |
| Mailing Address |
801 N Salisbury Blvd Suite 201 Salisbury MD 21801-3624 |
| Practice Telephone | 5403719414 |
| Mailing Telephone | 4104947607 |
| Enumeration Date | 2006-06-18 |
| Last Update Date | 2019-08-05 |
| Authorized Official Name | ERIC SHAPIRO (VP, CONTROLLER) |
| Authorized Official Telephone | 4108327790 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
Allopathic & Osteopathic Physicians | ||
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DC | 036556400 | 05 | |
| DC | BCBS OF NATIONAL CAPITOL | B018 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801215041 | Genesis Eldercare Physician Services LLC | Family Medicine | 835 Tenderfoot Hill Rd # T, Colorado Springs, CO 80906 | 2014-04-15 |
| 1033535828 | Genesis Eldercare Physician Services LLC | Nurse Practitioner | 16605 Chestnut Glen Pl, Louisville, KY 40245 | 2014-03-17 |
| 1609180926 | Genesis Eldercare Physician Services LLC | Family Medicine | 6508 Deer Pointe Dr Ste A, Salisbury, MD 21804 | 2010-07-28 |
| 1326148107 | Genesis Eldercare Physician Services LLC | Skilled Nursing Facility | 14233 Alta Oaks Dr, Rockville, MD 20850-7413 | 2006-09-22 |
| 1881635183 | Genesis Eldercare Physician Services LLC | Internal Medicine | 6508 Deer Pointe Dr, Suite A, Salisbury, MD 21804 | 2006-06-09 |
| 1104819259 | Genesis Eldercare Physician Services LLC | Internal Medicine | 464 Main St, Heritage Hall East, Agawam, MA 01001 | 2005-08-24 |
| 1164415196 | Genesis Eldercare Physician Services LLC | Internal Medicine | 1 Emerson Dr, Kimberly Hall North, Windsor, CT 06095 | 2005-08-24 |
| 1699280511 | Genesis Eldercare Physician Services LLC | Internal Medicine | 515 Fairmount Ave, Towson, MD 21286 | 2017-12-14 |
| 1548615313 | Genesis Eldercare Physician Services LLC | Internal Medicine | 7900 Constitution Ave Ne, Albuquerque, NM 87110 | 2016-04-29 |
| 1659737898 | Genesis Eldercare Physician Services LLC | Internal Medicine | 515 Fairmount Ave, Towson, MD 21286-5466 | 2016-01-04 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | GENESIS ELDERCARE PHYSICIAN SERVICES LLC | 101 E State St, Kennett Sq, PA 19348-3109 |
| Street Address |
11 DAIRY LN |
| City | FREDERICKSBURG |
| State | VA |
| Zip Code | 22405-2663 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760032213 | Stephanie Bishop | Occupational Therapy Assistant | 11 Dairy Ln, Fredericksburg, VA 22405-2663 | 2019-09-17 |
| 1326501727 | Abigail Ongor | Occupational Therapist | 11 Dairy Ln, Fredericksburg, VA 22405-2663 | 2019-04-11 |
| 1659844678 | Kayla Mcconaghy | Occupational Therapist | 11 Dairy Ln, Fredericksburg, VA 22405-2663 | 2019-01-03 |
| 1154869998 | Katelyn Graham | Occupational Therapy Assistant | 11 Dairy Ln, Fredericksburg, VA 22405-2663 | 2017-02-01 |
| 1528504248 | Danielle Marie Barnett | Occupational Therapist | 11 Dairy Ln, Fredericksburg, VA 22405-2663 | 2017-01-19 |
| 1972956217 | Michael Gasaway | Physical Therapy Assistant | 11 Dairy Ln, Fredericksburg, VA 22405-2663 | 2016-07-21 |
| 1487028528 | Andrea Thomas | Physical Therapy Assistant | 11 Dairy Ln, Fredericksburg, VA 22405-2663 | 2015-11-29 |
| 1699149955 | Sarah Crocker Preuss | Registered Nurse | 11 Dairy Ln, Fredericksburg, VA 22405-2663 | 2015-11-23 |
| 1386053833 | Jojo Andoh | Physical Therapy Assistant | 11 Dairy Ln, Fredericksburg, VA 22405-2663 | 2014-08-08 |
| 1245645795 | Sierra Riedy | Occupational Therapy Assistant | 11 Dairy Ln, Fredericksburg, VA 22405-2663 | 2014-06-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992217442 | Rappahannock Area Young Men's Christian Association | Health Educator | 212 Butler Road, Falmouth, VA 22405 | 2017-10-24 |
| 1518334606 | Darrell Dean Dila | Physical Therapist | 212 Butler Rd, Fredericksburg, VA 22405 | 2015-08-25 |
| 1790108215 | Charise Hansen | Occupational Therapist | 121 Boscobel Rd, Fredericksburg, VA 22405 | 2014-02-04 |
| 1033494984 | Trinity Home Health | Home Health | 111 Braemar Place, Fredericksburg, VA 22405 | 2011-10-11 |
| 1053526350 | Steffani A. Deas | Optometrist | 110 Cambridge Street, Access Eye Centers, Fredericksburg, VA 22405 | 2007-05-11 |
| 1689899726 | Clear Care Dental Pllc. | Preferred Provider Organization | 10 Chatham Heights Rd., Fredericksburg, VA 22405 | 2007-04-16 |
| 1154545028 | Muhammad Jadoon | Family Medicine | 1000 Sam Perry Blvd, Fredericksburg, VA 22405 | 2007-04-12 |
| 1134137086 | Premier Eyecare, Angela Tsai, O.d. and Associates, P.C. | Optometrist | 230 Butler Road, Fredericksburg, VA 22405 | 2006-08-04 |
| 1952383606 | Kash Eagleton | Physical Therapist | 421 Chatham Square Office Park, Fredericksburg, VA 22405 | 2005-11-17 |
| 1538700216 | Hanna Ouellette | Physician Assistant | 406 Chatham Square Office Park, Fredericksburg, VA 22405 | 2019-10-03 |
| Find all providers in zip 22405 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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 |
|---|---|---|---|---|
| 1154726123 | Md Wellness and Health Center | Internal Medicine | 10518 Spotsylvania Ave, Suite 102, Fredericksburg, VA 22408 | 2014-11-03 |
| 1730411042 | Hill Country Physician Associates | Internal Medicine | 820 Reuben St, Suite B, Fredericksburg, TX 78624-4436 | 2010-02-11 |
| 1700117454 | Hugh Mercer Medical | Internal Medicine | 919 Hanover St, Fredericksburg, VA 22401-5609 | 2010-01-20 |
| 1538392220 | Federicksburg Internal Medicine | Internal Medicine | 121b Park Hill Dr, Fredericksburg, VA 22401-3357 | 2009-08-27 |
| 1447489174 | Stephanie B Ng | Internal Medicine | 2201 Charles St Ste 103, Fredericksburg, VA 22401-3378 | 2009-07-01 |
| 1669611315 | Twin Lakes Internal Medicine LLC | Internal Medicine | 1622 Lafayette Blvd, Fredericksburg, VA 22401-7065 | 2009-02-19 |
| 1518145960 | Arijit Chanda | Internal Medicine | 9530 Cosner Dr Ste 200, Fredericksburg, VA 22408-7760 | 2008-02-07 |
| 1942421540 | Rajat Kumar | Internal Medicine | 1001 Sam Perry Boulevard, Fredericksburg, VA 22401 | 2007-05-01 |
| 1982744496 | Linda Ann Villalobos | Internal Medicine | 603 Kenmore Ave, Fredericksburg, VA 22401-5722 | 2007-02-07 |
| 1386653236 | Michael Matlock Johnson | Internal Medicine | 1308 S Highway 16, Fredericksburg, TX 78624-5058 | 2006-08-07 |
| Find all providers in FREDERICKSBURG | ||||
| City | FREDERICKSBURG |
| Zip Code | 22405 |
Please comment or provide details below to improve the information on GENESIS ELDERCARE PHYSICIAN SERVICES LLC.
| 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.