GENESIS MEDICAL CENTER, ALEDO (NPI# 1972856854) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972856854 |
| Entity Type | Organization |
| Organization Name | GENESIS MEDICAL CENTER, ALEDO |
| Other Organization Name | GENESIS HEALTH GROUP, SEPCIALTY CLINIC, ALEDO |
| Practice Address |
1007 Nw 3rd St Ste 100 Aledo IL 61231-1317 |
| Practice Telephone | 3095823701 |
| Practice Fax Number | 3095823737 |
| Mailing Telephone | 3095823701 |
| Mailing Fax Number | 3095823737 |
| Enumeration Date | 2012-10-17 |
| Last Update Date | 2013-06-28 |
| Authorized Official Name | MR. DOUG CROPPER (CEO) |
| Authorized Official Telephone | 5634216510 |
| Is Organization Subpart | Y |
| Parent Organization Name | GENESIS HEALTH SYSTEM |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | Podiatric Medicine & Surgery Service Providers |
| Other Name | Type Code |
|---|---|
| Genesis Health Group, Sepcialty Clinic, Aledo | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427301308 | Genesis Medical Center, Aledo | General Acute Care Hospital | 409 Nw 9th Ave, Aledo, IL 61231-1258 | 2012-10-17 |
| 1053664938 | Genesis Medical Center, Aledo | Clinic/Center | 1007 Nw 3rd St, Aledo, IL 61231-1317 | 2012-10-17 |
| 1225380967 | Genesis Medical Center, Aledo | General Acute Care Hospital | 409 Nw 9th Ave, Aledo, IL 61231-1258 | 2012-10-04 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | GENESIS MEDICAL CENTER, ALEDO | 409 Nw 9th Ave, Aledo, IL 61231-1258 |
| Street Address |
1007 NW 3RD ST STE 100 |
| City | ALEDO |
| State | IL |
| Zip Code | 61231-1317 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578071551 | Mercer County Family Young Men's Christian Association of Aledo, Illin | Health Educator | 401 Sw 2nd Ave, Aledo, IL 61231 | 2018-01-12 |
| 1952523565 | Mohamed I Rajput | Surgery | 309 Nw 2nd St, Aledo, IL 61231 | 2007-05-03 |
| 1750432324 | Gary Stanford Olson | Dentist | 403 Nw 4th St, Aledo, IL 61231 | 2007-01-12 |
| 1912091745 | Mercer Cty Hospital | Pharmacy | 409 N.w. 9th Ave, Outpatient Pharmacy, Aledo, IL 61231 | 2006-10-03 |
| 1811080492 | Glenda E Foy | Chiropractor | 301 Se Third Street, Aledo, IL 61231 | 2006-10-02 |
| 1902892805 | Kristin A Wurzburger | Internal Medicine | 1007 Nw 3rd Street, Aledo, IL 61231 | 2005-09-26 |
| 1205924024 | Mercer County Hospital Pharmacy | Pharmacy | 409 N.w. 9th Ave, Pharmacy, Aledo, IL 61231 | 2006-10-10 |
| 1144216185 | Julio A Santiago | Family Medicine | 1007 Nw 3rd St, Aledo, IL 61231 | 2005-09-26 |
| 1205829827 | County of Mercer | Public Health or Welfare | 305 Nw 7th St, Aledo, IL 61231-1072 | 2005-08-30 |
| 1942354915 | Mercer Health Center, S.c. | Family Medicine | 409 Nw 4th St, Aledo, IL 61231-1209 | 2007-01-23 |
| Find all providers in zip 61231 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750682670 | County of Mercer Hospital | Podiatrist | 1007 Nw 3rd Ave, Suite 100, Aledo, IL 61231-1317 | 2010-11-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881200343 | Podiatric Management Systems LLC | Podiatrist | 1 S067 Summit Ave, Oakbrook Terrace, IL 60181 | 2020-09-21 |
| 1114533700 | Podiatric Management Systems LLC | Podiatrist | 537 W 31st St, Chicago, IL 60616-3294 | 2020-09-18 |
| 1306452099 | Podiatric Management Systems LLC | Podiatrist | 2 W Talcott Rd Ste 23, Park Ridge, IL 60068-5558 | 2020-09-18 |
| 1073129763 | Podiatric Management Systems LLC | Podiatrist | 4310f W Crystal Lake Rd # F, Mchenry, IL 60050-4208 | 2020-09-18 |
| 1679187090 | Podiatric Management Systems LLC | Podiatrist | 5600 W Addison St Lowr 2ll, Chicago, IL 60634-4499 | 2020-09-02 |
| 1932742848 | Foot and Ankle Care & Associates, Ltd | Podiatrist | 3320 W 63rd St, Chicago, IL 60629-3317 | 2019-10-23 |
| 1437622966 | Tomasz Szmyd Dpm, PC | Podiatrist | 1500 E 67th St, Chicago, IL 60637-4427 | 2019-01-08 |
| 1689145898 | S Thomas Sehy D P M L L C | Podiatrist | 213 Nw 10th St Ste B, Fairfield, IL 62837-1219 | 2018-12-16 |
| 1548746761 | Jeremy Marchand | Podiatrist | 2751 W Winona St Rm Ap457, Chicago, IL 60625-2508 | 2018-07-11 |
| 1932693744 | Giovanni Incandela | Podiatrist | 700 E Algonquin Rd Unit 2313, Schaumburg, IL 60173-3835 | 2018-06-15 |
| Find all providers with the same taxonomy | ||||
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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.