GENESYS REGIONAL MEDICAL CENTER (NPI# 1710104187) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710104187 |
| Entity Type | Organization |
| Organization Name | GENESYS REGIONAL MEDICAL CENTER |
| Practice Address |
4642 Genesys Pkwy Grand Blanc MI 48439-8067 |
| Mailing Address |
Po Box 2015 Flint MI 48501-2015 |
| Practice Telephone | 8106065830 |
| Practice Fax Number | 8106065639 |
| Mailing Telephone | 8106065830 |
| Mailing Fax Number | 8106065639 |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2008-10-22 |
| Authorized Official Name | RICHARD LABAERE DO (MEDICAL EDUCATION DIRECTOR) |
| Authorized Official Telephone | 8107154300 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0008X |
Pediatrics Specialization: Neurodevelopmental Disabilities |
========= | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | HEALTH PLUS GROUP # | 5G00009 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184872400 | Genesys Regional Medical Center | Clinic/Center | 2989 Van Zandt Rd, Waterford, MI 48329-3360 | 2008-08-28 |
| 1124274329 | Genesys Regional Medical Center | Clinic/Center | 235 Tree Top Cir Apt 206, Auburn Hills, MI 48326-1185 | 2008-08-07 |
| 1538386909 | Genesys Regional Medical Center | Pediatrics | 4642 Genesys Parkway, Grand Blanc, MI 48439-8067 | 2007-04-19 |
| 1306963053 | Genesys Regional Medical Center | Pediatrics | 4642 Genesys Pkwy, Grand Blanc, MI 48439-8067 | 2007-03-26 |
| 1225580301 | Genesys Regional Medical Center | Clinic/Center | 1 Genesys Pkwy, Grand Blanc, MI 48439-8065 | 2016-10-25 |
| 1861807349 | Genesys Regional Medical Center | Internal Medicine | 2620 Genesys Pkwy, Grand Blanc, MI 48439-7326 | 2014-06-24 |
| 1669808689 | Genesys Regional Medical Center | Clinic/Center | 1 Genesys Pkwy, Grand Blanc, MI 48439-8065 | 2013-09-23 |
| 1104165430 | Genesys Regional Medical Center | Clinic/Center | 1 Genesys Pkwy, Grand Blanc, MI 48439-8065 | 2013-02-06 |
| 1164714184 | Genesys Regional Medical Center | Internal Medicine | 3399 Pollock Rd, Grand Blanc, MI 48439-8395 | 2011-05-10 |
| 1528215837 | Genesys Regional Medical Center | Pediatrics | 4642 Genesys Pkwy, Grand Blanc, MI 48439-8067 | 2008-08-19 |
| Street Address |
4642 GENESYS PKWY |
| City | GRAND BLANC |
| State | MI |
| Zip Code | 48439-8067 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306963053 | Genesys Regional Medical Center | Pediatrics | 4642 Genesys Pkwy, Grand Blanc, MI 48439-8067 | 2007-03-26 |
| 1073866216 | Loui Lea Brickey | Registered Nurse | 4642 Genesys Pkwy, Grand Blanc, MI 48439-8067 | 2012-10-25 |
| 1528215837 | Genesys Regional Medical Center | Pediatrics | 4642 Genesys Pkwy, Grand Blanc, MI 48439-8067 | 2008-08-19 |
| 1194907204 | Genesys Regional Medical Center | Pediatrics | 4642 Genesys Pkwy, Grand Blanc, MI 48439-8067 | 2007-11-30 |
| 1477735587 | Genesys Regional Medical Center | Pediatrics | 4642 Genesys Pkwy, Grand Blanc, MI 48439-8067 | 2007-11-30 |
| 1629295092 | Genesys Regional Medical Center | Pediatrics | 4642 Genesys Pkwy, Grand Blanc, MI 48439-8067 | 2007-04-19 |
| 1992922363 | Genesys Regional Medical Center | Pediatrics | 4642 Genesys Pkwy, Grand Blanc, MI 48439-8067 | 2007-04-19 |
| 1801013271 | Genesys Regional Medical Center | Pediatrics | 4642 Genesys Pkwy, Grand Blanc, MI 48439-8067 | 2007-04-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811598931 | Fady Essi | Pharmacist | 6160 S Saginaw Road, Grand Blanc, 48439, USA 48439 | 2020-11-04 |
| 1407456254 | Bradley Dwane Murphy | Pharmacist | 6170 S Saginaw, Grand Blanc, MI 48439 | 2020-10-30 |
| 1457975476 | Lauren Nicole Holmes | Obstetrics & Gynecology | Gme Department, 1 Genesys Pkwy, Grand Blanc, MI 48439 | 2020-06-05 |
| 1366063927 | Hadeel Ghazi Barrawi | Family Medicine | Ascension Genesys Hospital, Office of Medical Education, One Genesys Parkway, Grand Blanc, MI 48439 | 2020-05-05 |
| 1245851427 | Adriana Sharp | Surgery | 1 Genesys, Grand Blanc, MI 48439 | 2020-04-29 |
| 1114485109 | Kristen Milefchik | Case Manager/Care Coordinator | 278 Fox Chase Blvd, Grand Blanc, MI 48439 | 2019-03-08 |
| 1588134175 | Audrie Brook Mullin | Registered Nurse | 2313 E. Hill Rd, Grand Blanc, MI 48439 | 2018-11-27 |
| 1457845703 | Michael Patrick Tuczynski | Family Medicine | One Genesys Parkway Ascension Genesys Hospital, Attn: Debra Shuck, Grand Blanc, MI 48439 | 2018-06-20 |
| 1104318112 | Wellbridge At Genesys Health Park, LLC | Skilled Nursing Facility | 3139 East Baldwin Road, Grand Blanc, MI 48439 | 2018-06-05 |
| 1336648393 | Raedeane Kenway | Dental Hygienist | 8542 Holly Rd, Grand Blanc, MI 48439 | 2018-02-06 |
| Find all providers in zip 48439 | ||||
| Taxonomy Code | 2080P0008X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Neurodevelopmental Disabilities |
| A pediatrician who treats children having developmental delays or learning disorders including those associated with visual and hearing impairment, mental retardation, cerebral palsy, spina bifida, autism and other chronic neurologic conditions. This specialist provides medical consultation and education and assumes leadership in the interdisciplinary management of children with neurodevelopmental disorders. They may also focus on the early identification and diagnosis of neurodevelopmental disabilities in infants and young children as well as on changes that occur as the child with developmental disabilities grows. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982904587 | Spectrum Health Primary Care Partners | Pediatrics | 550 W Grand Ave, Muskegon, MI 49441-2336 | 2010-10-28 |
| 1730354994 | Kheir Al Zouhayli Md PC | Pediatrics | 1639 E Big Beaver, 104, Troy, MI 48083 | 2008-04-28 |
| 1528048501 | Yasser Awaad | Pediatrics | 1331 Monroe St, Dearborn, MI 48124-2888 | 2006-01-18 |
| 1922582196 | Spectrum Health Primary Care Partners | Pediatrics | 360 Lafayette Ave Se Ste 400, Grand Rapids, MI 49503-4677 | 2018-09-24 |
| 1669779005 | Spectrum Health Primary Care Partners | Pediatrics | 100 Pine St, Suite 225, Zeeland, MI 49464-2600 | 2011-02-22 |
| 1578860912 | Spectrum Health Primary Care Partners | Pediatrics | 700 Fuller Ave Ne, Grand Rapids, MI 49503-1918 | 2011-02-22 |
| 1962543660 | Colleen Noble | Pediatrics | 461 W Huron St, Nomc Developmental Pediatrics, Pontiac, MI 48341-1601 | 2007-02-08 |
| 1538205539 | Vivek Baluja | Pediatrics | 35 Michigan St Ne, Suite 3003, Grand Rapids, MI 49503-2514 | 2007-01-29 |
| 1164571824 | Oakwood Young Programs, LLC | Pediatrics | 25650 Outer Dr, Lincoln Park, MI 48146-2096 | 2007-01-10 |
| 1740375914 | Douglas G Postels | Pediatrics | 804 Service Rd, A217, East Lansing, MI 48824-7015 | 2006-10-04 |
| Find all providers with the same taxonomy | ||||
| City | GRAND BLANC |
| Zip Code | 48439 |
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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.