ASCENSION MEDICAL GROUP GENESYS (NPI# 1982170312) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982170312 |
| Entity Type | Organization |
| Organization Name | ASCENSION MEDICAL GROUP GENESYS |
| Practice Address |
1096 S Belsay Rd Ste C Burton MI 48509-1948 |
| Mailing Address |
3495 S Center Rd Burton MI 48519-1455 |
| Practice Telephone | 8107433351 |
| Practice Fax Number | 8102441239 |
| Mailing Telephone | 8104242136 |
| Mailing Fax Number | 8102494149 |
| Enumeration Date | 2018-10-24 |
| Last Update Date | 2020-08-18 |
| Authorized Official Name | RANDOLPH KUMMLER (PRESIDENT) |
| Authorized Official Telephone | 8104242025 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114495793 | Ascension Medical Group Genesys | Occupational Therapist | 1096 S Belsay Rd Ste G, Burton, MI 48509-1948 | 2018-11-13 |
| 1205304888 | Ascension Medical Group Genesys | Radiology | 1096 S Belsay Rd Ste J, Burton, MI 48509-1948 | 2018-11-13 |
| 1598248718 | Ascension Medical Group Genesys | Internal Medicine | 3495 S Center Rd, Burton, MI 48519-1455 | 2018-09-13 |
| 1215410436 | Ascension Medical Group Genesys | Internal Medicine | 3495 S Center Rd, Burton, MI 48519-1455 | 2018-09-13 |
| 1003398470 | Ascension Medical Group Genesys | Internal Medicine | 4485 E Mount Morris Rd, Mount Morris, MI 48458-8963 | 2018-09-03 |
| Street Address |
1096 S BELSAY RD STE C |
| City | BURTON |
| State | MI |
| Zip Code | 48509-1948 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194346486 | Katherine A Mieczkowski | Hearing Instrument Specialist | 235 S. Center #7, Burten, MI 48509 | 2020-04-28 |
| 1538657697 | Jenny Dudley | Nurse Practitioner | 1501 Center Rd, Burton, MI 48509 | 2018-04-24 |
| 1831618289 | Michael T Sproule | Registered Nurse | 6201 Woodmoor Dr, Burton, MI 48509 | 2017-09-18 |
| 1083159438 | William H Moon Jr Dds | Dentist | 1481 South Center Road, Burton, MI 48509 | 2016-12-21 |
| 1922419464 | David Peter Luebbert | Family Medicine | 1460 N. Center Rd., Burton, MI 48509 | 2014-05-19 |
| 1760722896 | Ambe Inc. | Pharmacy | 6009 E. Lapeer Rd, Burton, MI 48509 | 2013-02-27 |
| 1669519328 | Planned Parenthood Mid and South Michigan | Clinic/Center | G1235 S Center Rd, Unit #17, Burton, MI 48509 | 2007-01-31 |
| 1073689899 | Tender Dental Care PC | Dentist | 1024 N Genesee, Burton, MI 48509 | 2006-11-24 |
| 1043385701 | William H Moon Jr. | Dentist | 1481 S Center Rd, Burton, MI 48509 | 2006-11-21 |
| 1679669485 | Todd William Lee | Optometrist | 5323 E. Court St. N., Burton, MI 48509 | 2006-10-05 |
| Find all providers in zip 48509 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487297032 | Courtney Jean Munn-huesca | Family Medicine | 14525 North Chesire, Burton, OH 44021-4402 | 2019-10-25 |
| 1922419464 | David Peter Luebbert | Family Medicine | 1460 N. Center Rd., Burton, MI 48509 | 2014-05-19 |
| 1821260266 | Daniel Milan Zelko | Family Medicine | 2313 N Belsay Rd, Burton, MI 48509-1327 | 2008-03-26 |
| 1437214509 | Clay-battelle Health Services Association | Family Medicine | 60 May Ln, Ste 102, Burton, WV 26562-9669 | 2006-12-27 |
| 1538222823 | Genesee Family Care PC | Family Medicine | 3020 South Genesee Rd, Burton, MI 48519 | 2006-12-18 |
| 1619906773 | Rommel Aquino | Family Medicine | 6175 Lapeer Rd, Burton, MI 48509-2417 | 2006-07-01 |
| 1164458592 | Ariel Ponce | Family Medicine | 4075 S Center Rd, Burton, MI 48519-1453 | 2006-06-25 |
| 1891770947 | Gerald L Larson | Family Medicine | 1459 S Center Rd, Burton, MI 48509-1726 | 2005-12-13 |
| 1154305241 | Jose Baterina Lopez | Family Medicine | 3020 S Genesee Rd, Burton, MI 48519-1420 | 2005-12-01 |
| 1376534396 | Gary T Roome | Family Medicine | G-3375 S. Saginaw St., Burton, MI 48529 | 2005-10-31 |
| Find all providers in BURTON | ||||
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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.