JOHN T GENECZKO JR. (NPI# 1902875727) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902875727 |
| Entity Type | Individual |
| Full Name | JOHN T GENECZKO JR. |
| Credential | M.D. |
| Practice Address |
200 Trent Dr 3662 Dumc Durham NC 27710-2479 |
| Mailing Address |
Po Box 3662 Durham NC 27710-0001 |
| Practice Telephone | 9196841817 |
| Practice Fax Number | 9196818147 |
| Mailing Telephone | 9196841817 |
| Mailing Fax Number | 9196818147 |
| Enumeration Date | 2006-03-15 |
| Last Update Date | 2013-05-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
01036161A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 100085880 | 05 | |
| IN | GE15365010 | 05 | |
| IN | PHCS PID NUMBER | 9397086 | 01 |
| IN | ANTHEM PROVIDER NUMBER | 000000190914 | 01 |
| IN | CAQH NUMBER | 10825131 | 01 |
| Street Address |
200 TRENT DR 3662 DUMC |
| City | DURHAM |
| State | NC |
| Zip Code | 27710-2479 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730640988 | Chukwuemeka Onwuzurumba | Emergency Medicine | 200 Trent Dr, Durham, NC 27710-3037 | 2019-03-29 |
| 1598256174 | Aaron Michael Jamison | Nurse Anesthetist, Certified Registered | 200 Trent Dr, Durham, NC 27710 | 2018-05-19 |
| 1952831703 | Sofia Teresa Zavala Monzon | Student in an Organized Health Care Education/Training Program | 200 Trent Dr, Durham, NC 27710-1900 | 2017-06-14 |
| 1871036517 | Ashley Moskovich | Psychologist | 200 Trent Dr, Dumc Box3842, Durham, NC 27710-3037 | 2016-11-29 |
| 1942759485 | Elizabeth G Evans | Physician Assistant | 200 Trent Dr, Durham, NC 27710-0001 | 2016-09-26 |
| 1265829451 | Jessica Candace Sabo | Physician Assistant | 200 Trent Dr, Dumc 3540, Durham, NC 27710-3037 | 2015-04-25 |
| 1285041053 | Casey Bayliss Brown | Nurse Practitioner | 200 Trent Dr, Durham, NC 27710-3037 | 2014-07-14 |
| 1407278146 | Jenna Nicole Brothers | Physician Assistant | 200 Trent Dr, Durham, NC 27710-3037 | 2014-01-15 |
| 1174866198 | Daniel Christopher Parker | Internal Medicine | 200 Trent Dr, Durham, NC 27710-3038 | 2013-03-27 |
| 1467794099 | Kaylea Renee Nicholson | Speech-Language Pathologist | 200 Trent Dr, Rm 155 Baker House, Durham, NC 27710 | 2013-03-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255978334 | Anna Rapoport | Nurse Practitioner | Duke Medicine Center, 40 Duke Medicine Circle, Durham, NC 27710 | 2019-12-08 |
| 1649764846 | Kelly Johanna Valencia | Nurse Practitioner | 2301 Erwin Road Duke North Box # 3677, Durham, NC 27710 | 2018-06-20 |
| 1437656717 | Hugh Khoi Quach | Student in an Organized Health Care Education/Training Program | 2301 Erwin Road, Durham, Durham, NC 27710 | 2018-04-12 |
| 1154827046 | Shannon M Beeley | Registered Nurse | Duke Rheumatology Clinic 40 Medicine Circle Cinic 1j, Durham, NC 27710 | 2018-04-01 |
| 1669902862 | Hilary Kristina Dietz | Student in an Organized Health Care Education/Training Program | 30 Duke Medicine Circle Drive, Morris Building Room 25169, Durham, NC 27710 | 2017-06-20 |
| 1174071443 | Gabriel Streisfeld | Physical Therapist | 2301 Erwin Rd Dumc 3965, Durham, NC 27710 | 2016-09-15 |
| 1568810505 | Amber Mcvey | Nurse Practitioner | 04276 Hospital South Box 3677, Durham, NC 27710 | 2016-06-01 |
| 1891149696 | Tiziana T Coppola | Student in an Organized Health Care Education/Training Program | 2301 Erwin Rd, Durham, NC 27710 | 2016-04-18 |
| 1568822864 | Nicole Smith | Nurse Practitioner | 2301 Erwin Rd Box 3116, Durham, NC 27710 | 2016-02-29 |
| 1548656150 | Jesse David Rhodes | Hospitalist | Hospital Medicine, Duke University Hospital, 40 Duke Medicine Circle, Durham, NC 27710 | 2015-04-09 |
| Find all providers in zip 27710 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal 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 |
|---|---|---|---|---|
| 1235365297 | Matthew R Kappus | Internal Medicine | Duke Gastroenterology Dumc 3923, Durham, NC 27710 | 2009-06-04 |
| 1962571232 | Douglas A. Drossman | Internal Medicine | 5826 Fayetteville Rd Ste 201, Durham, NC 27713-8684 | 2006-11-08 |
| 1780785196 | Dawn Provenzale | Internal Medicine | 508 Fulton St # 152, Building 6, Durham, NC 27705-3875 | 2006-09-26 |
| 1487602561 | Richard K Wood Jr. | Internal Medicine | Dumc 3662, Durham, NC 27710-0001 | 2006-05-04 |
| 1891755153 | Scott Robert Brazer | Internal Medicine | 249 E Nc Highway 54, Suite 200, Durham, NC 27713-7512 | 2006-03-23 |
| 1013310457 | Raghubinder S Gill | Internal Medicine | 40 Duke Medicine Cir, Duke Clinic 2h, Durham, NC 27710-4000 | 2014-09-30 |
| 1720493521 | Private Diagnostic Clinic, Pllc | Internal Medicine | 249 E Nc Highway 54, Suite 200, Durham, NC 27713-7512 | 2014-07-01 |
| 1730593013 | Danny George Cheriyan | Internal Medicine | 40 Duke Medicine Cir, Durham, NC 27710-4000 | 2014-06-16 |
| 1467794735 | Brian Sullivan | Internal Medicine | 508 Fulton St, Durham, NC 27705-3875 | 2013-03-25 |
| 1194083527 | Benjamin Rembold Lloyd | Internal Medicine | 2301 Erwin Rd, Durham, NC 27705-4699 | 2012-04-23 |
| Find all providers in DURHAM | ||||
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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.