GENESIS HEALTH SYSTEM (NPI# 1861508004) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1861508004 |
Entity Type | Organization |
Organization Name | GENESIS HEALTH SYSTEM |
Other Organization Name | GENESIS HEALTH GROUP |
Practice Address |
1230 E Rusholme St Davenport IA 52803-2400 |
Mailing Address |
865 Lincoln Rd Suite L10 Bettendorf IA 52722-4190 |
Practice Telephone | 5633229150 |
Practice Fax Number | 5633229148 |
Mailing Telephone | 5634412735 |
Mailing Fax Number | 5633553419 |
Enumeration Date | 2006-08-21 |
Last Update Date | 2009-09-28 |
Authorized Official Name | MR. MARK G ROGERS (VICE PRESIDENT OF FINANCE) |
Authorized Official Telephone | 5634216513 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
DMERC | 5727210014 | 01 |
Other Name | Type Code |
---|---|
Genesis Health Group | 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 |
1679525562 | Genesis Health System | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1236 E Rusholme St Ste 150, Davenport, IA 52803-2433 | 2006-05-17 |
1538110218 | Genesis Health System | Clinic/Center | 2350 41st St, Moline, IL 61265-5014 | 2006-05-15 |
Street Address |
1230 E RUSHOLME ST |
City | DAVENPORT |
State | IA |
Zip Code | 52803-2400 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912902339 | Nancy J Agnew | Nurse Practitioner | 1230 E Rusholme St, Ste 301, Davenport, IA 52803-2400 | 2005-06-14 |
1023463890 | Caitlin J Wilson | Physician Assistant | 1230 E Rusholme St, Suite 150, Davenport, IA 52803-2452 | 2016-04-29 |
1770971038 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 1230 E Rusholme St, Suite 303, Davenport, IA 52803-2452 | 2015-01-08 |
1912281940 | Child Protection Response Center | Pediatrics | 1230 E Rusholme St, Mob2, Lower Level, Suite 1, Davenport, IA 52803-2452 | 2011-10-10 |
1154643260 | France B Many | Nurse Practitioner | 1230 E Rusholme St, Suite 303, Davenport, IA 52803-2467 | 2010-02-17 |
1194957449 | Jody J Kealey | Dietitian, Registered | 1230 E Rusholme St, Suite 305, Davenport, IA 52803-2452 | 2009-08-20 |
1952567794 | Quad Cities Retina Consultants | Ophthalmology | 1230 E Rusholme St, Suite 107, Davenport, IA 52803-2400 | 2008-07-31 |
1518124841 | Amanda L Bailey | Optometrist | 1230 E Rusholme St, Ste 203, Davenport, IA 52803-2400 | 2008-05-22 |
1154357416 | Internal Medicine Associates Prof Corp | Internal Medicine | 1230 E Rusholme St, Suite 303, Davenport, IA 52803-2467 | 2006-06-25 |
1982654349 | Barbara Ann Harre | Pediatrics | 1230 E Rusholme St, Bldg. 2 Ll 01, Davenport, IA 52803-2400 | 2006-05-10 |
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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 | 207VG0400X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Obstetrics & Gynecology |
Specialization | Gynecology |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285664250 | Mark Griffo | Obstetrics & Gynecology | 2506 Sand Mine Rd, Davenport, FL 33897-3402 | 2006-07-04 |
1467625418 | All About Women Pllc | Obstetrics & Gynecology | 2508 Sand Mine Rd, Davenport, FL 33897-3402 | 2008-04-10 |
1982622379 | Trudi Griffo | Obstetrics & Gynecology | 2506 Sand Mine Rd, Davenport, FL 33897-3402 | 2006-07-17 |
1508862434 | Johanna B Whalen | Obstetrics & Gynecology | 1230 E Rusholme St, Ste 301, Davenport, IA 52803-2400 | 2005-06-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952953812 | Comprehensive Women's Health, P.C. | Obstetrics & Gynecology | 227 E San Marnan Dr Ste 1, Waterloo, IA 50702-5829 | 2019-07-11 |
1396062311 | Gwendoline Fang | Obstetrics & Gynecology | 1015 S. Hackett Road Suite 200, Department of Ob/gyn, Waterloo, IA 50701 | 2010-04-29 |
1295713261 | Northwest Iowa Surgeons PC | Obstetrics & Gynecology | 1823 Highway Blvd Ste 5, Spencer, IA 51301-2226 | 2006-01-09 |
1811995517 | Douglas L Stanford | Obstetrics & Gynecology | 432 King Dr, Waterloo, IA 50702-5956 | 2005-07-07 |
1407147911 | Eugenia Mazur | Obstetrics & Gynecology | 200 Hawkins Dr, Iowa City, IA 52242-1007 | 2011-05-02 |
1265608244 | Albert J Mintzer | Obstetrics & Gynecology | 1801 Hickman Rd, Des Moines, IA 50314-1505 | 2008-04-30 |
1770773509 | Elizabeth Bussewitz | Obstetrics & Gynecology | 855 A Ave Ne, Cedar Rapids, IA 52402-5050 | 2007-07-27 |
1811108558 | Mt. Pleasant Center for Women's Health, PC | Obstetrics & Gynecology | 407 S White St, Suite 104, Mt Pleasant, IA 52641-2262 | 2007-05-24 |
1174743389 | Diana Kay Kaufman | Obstetrics & Gynecology | 909 Sw Oralabor Rd, Ankeny, IA 50023-7004 | 2007-04-27 |
1760607394 | Kathleen Michele Dorcey Lafavor | Obstetrics & Gynecology | 1000 Jackson St, Sioux City, IA 51105-1431 | 2007-04-17 |
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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.