GENESIS INTERNATIONAL MEDICAL SERVICES LLC (NPI# 1750647780) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750647780 |
| Entity Type | Organization |
| Organization Name | GENESIS INTERNATIONAL MEDICAL SERVICES LLC |
| Practice Address |
323 W Oak St Suite A Kissimmee FL 34741-4421 |
| Mailing Address |
7529 Tall Tree Ct Port Richey FL 34668-5849 |
| Practice Telephone | 4074683075 |
| Mailing Telephone | 4074683075 |
| Enumeration Date | 2012-04-03 |
| Last Update Date | 2012-05-07 |
| Authorized Official Name | DALE C NEWTON (PRESIDENT/ MEDICAL DIRECTOR) |
| Authorized Official Telephone | 8133897682 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
ME50820 | FL | Allopathic & Osteopathic Physicians |
| Street Address |
323 W OAK ST SUITE A |
| City | KISSIMMEE |
| State | FL |
| Zip Code | 34741-4421 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447534367 | Mps Medic | Radiology | 323 W Oak St, Kissimmee, FL 34741-4421 | 2011-10-11 |
| 1376949032 | Family Health Clinic Usa LLC | Family Medicine | 323 W Oak St, Suite A, Kissimmee, FL 34741-4421 | 2014-11-07 |
| 1043613466 | Family Health Clinic LLC | Family Medicine | 323 W Oak St, Kissimmee, FL 34741-4421 | 2014-09-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083239834 | Kathia I Torres Cintron | Occupational Therapy Assistant | 201 Park Place Blvd Kissimmee Fl 347, Kissimmee, FL 34741 | 2020-06-08 |
| 1992340046 | Zynia Spencer | Marriage & Family Therapist | 345 W. Oak St., Kissimmee, FL 34741 | 2019-11-13 |
| 1225597784 | Leila Rosado | Counselor | All Family, 120 Broadway Suite 204, Kissimmee, FL 34741 | 2019-03-14 |
| 1235610312 | Yashirah Castillo | Behavior Technician | 230 Country Blvd, Apt 6, Kissimmee, FL 34741 | 2018-08-27 |
| 1376021352 | Julio Cesar Castellanos | Nurse Practitioner | 1050 W Carroll St Apt 149, Kissimmee, FL 34741 | 2018-08-01 |
| 1245724715 | Sonia Teresa Rodriguez | Counselor | 3438 W. Vine Street, Kissimmee, FL 34741 | 2018-06-19 |
| 1700376316 | Jessica Mateo | Social Worker | 111 E Monument Ave Unit 412, Kissimmee, FL 34741 | 2018-05-18 |
| 1306340880 | George Gianakakos | Psychiatry & Neurology | 720 W. Oak St., Suite 360, Kissimmee, FL 34741 | 2018-03-20 |
| 1154825693 | Mary Catherine Slome | Student in an Organized Health Care Education/Training Program | 720 W. Oat Street, Ste. 201, Kissimmee, FL 34741 | 2018-03-20 |
| 1457855991 | Sherwin Zachariah Thomas | Student in an Organized Health Care Education/Training Program | 720 W. Oak St., Ste 201, Kissimmee, FL 34741 | 2018-03-20 |
| Find all providers in zip 34741 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285243394 | Florida Radiology Imaging At Lake Mary LLC | Radiology | 2488 E Irlo Bronson Memorial Hwy, Kissimmee, FL 34744-4948 | 2020-07-24 |
| 1528434123 | Imaging Medical Center LLC | Radiology | 1016 Cypress Pkwy, Kissimmee, FL 34759-3328 | 2015-08-18 |
| 1487907242 | Diagnostic 4 U | Radiology | 1010 Mann St, Kissimmee, FL 34741-4121 | 2012-10-18 |
| 1447534367 | Mps Medic | Radiology | 323 W Oak St, Kissimmee, FL 34741-4421 | 2011-10-11 |
| 1376839423 | Sheridan Radiology Services of Central Florida, Inc | Radiology | 730 W Oak St, Kissimmee, FL 34741-4938 | 2011-06-27 |
| 1538451919 | Digital Radiology Center Inc | Radiology | 1105 Sumner St, Kissimmee, FL 34741-5804 | 2011-05-04 |
| 1013177419 | Omar Farooq Usmani | Radiology | 208 W Oak St, Kissimmee, FL 34741-4420 | 2008-06-10 |
| 1083807788 | Sonia Velazquez | Radiology | 1926 N John Young Pkwy, # 145, Kissimmee, FL 34741-3221 | 2007-08-26 |
| 1760588230 | Altamonte Springs Diagnostic Imaging Inc | Radiology | 819 E. Oak Str, Suite C, Kissimmee, FL 34744-5842 | 2006-09-15 |
| 1285688127 | Navix Imaging Inc | Radiology | 1503 W Oak St, Kissimmee, FL 34741-4065 | 2006-05-22 |
| Find all providers in KISSIMMEE | ||||
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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.