GENESIS OB/GYN, PC (NPI# 1992994214) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992994214 |
| Entity Type | Organization |
| Organization Name | GENESIS OB/GYN, PC |
| Practice Address |
2424 N Wyatt Dr Ste. 260 Tucson AZ 85712-6115 |
| Practice Telephone | 5207950549 |
| Practice Fax Number | 5207950354 |
| Mailing Telephone | 5207950549 |
| Mailing Fax Number | 5207950354 |
| Enumeration Date | 2007-10-23 |
| Last Update Date | 2017-02-06 |
| Authorized Official Name | DR. CHRISTOPHER SULLIVAN (PRESIDENT) |
| Authorized Official Telephone | 5207950549 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207VM0101X |
Obstetrics & Gynecology Specialization: Maternal & Fetal Medicine |
Allopathic & Osteopathic Physicians | ||
| Y | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians |
| Street Address |
2424 N WYATT DR STE. 260 |
| City | TUCSON |
| State | AZ |
| Zip Code | 85712-6115 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356342224 | Bradley J Brainard | Orthopaedic Surgery | 2424 N Wyatt Dr, Tucson, AZ 85712-6115 | 2005-08-02 |
| 1336637578 | Tucson Arizona Surgical Center, LLC | Clinic/Center | 2424 N Wyatt Dr, Tucson, AZ 85712-6115 | 2018-04-24 |
| 1033599659 | Andrew Seita | Physical Therapist | 2424 N Wyatt Dr, #130, Tucson, AZ 85712-6115 | 2015-06-09 |
| 1194103051 | Golsa Lotfioff | Physical Therapist | 2424 N Wyatt Dr, Suite 130, Tucson, AZ 85712-6115 | 2015-05-12 |
| 1346540465 | Sarah Alison Kimbel Rice | Physical Therapy Assistant | 2424 N Wyatt Dr, 200, Tucson, AZ 85712-6115 | 2010-10-22 |
| 1306172101 | Julie K Fehr | Physical Therapy Assistant | 2424 N Wyatt Dr, Suite 130, Tucson, AZ 85712-6115 | 2009-10-29 |
| 1447488119 | Nebojsa V Skrepnik | Internal Medicine | 2424 N Wyatt Dr, Tucson, AZ 85712-6115 | 2009-07-01 |
| 1013166453 | Stephanie Russell Wiegand | Physical Therapist | 2424 N Wyatt Dr, Suite #130, Tucson, AZ 85712-6115 | 2008-09-10 |
| 1528222593 | Timothy S Johnson | Internal Medicine | 2424 N Wyatt Dr, Suite 100, Tucson, AZ 85712-6115 | 2008-07-17 |
| 1285800102 | Bobbi Jo Huffman | Specialist/Technologist, Other | 2424 N Wyatt Dr, Tucson, AZ 85712-6115 | 2008-04-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871104950 | Nancy Rae Klug | Registered Nurse | 2380 N Ferguson Ave., Tucson, AZ 85712 | 2020-08-12 |
| 1013525534 | James Tutu Fiske I | Nurse Practitioner | 5700 E. Pima Street Suite C., Tucson, AZ 85712 | 2020-07-21 |
| 1063031953 | Mehera Tiffanie Hormuz | Student in an Organized Health Care Education/Training Program | 5301 E. Grant Rd., Tucson, AZ 85712 | 2020-04-10 |
| 1770133282 | Elizabeth Nadeschzda Lowell | Nurse Practitioner | 4881 E Grant Road, Suite 101, Tucson, AZ 85712 | 2019-09-17 |
| 1174185649 | Pisa Asc Holdco LLC | Clinic/Center | 4741 E Camp Lowell Drive, Tucson, AZ 85712 | 2019-07-03 |
| 1548821838 | Painted Sky Healthcare, Inc. | Hospice Care, Community Based | 2980 N Swan Rd Ste 222, Tucson, AZ 85712 | 2019-06-26 |
| 1558925644 | Helen Jane Lyall | Registered Nurse | Tucson Medical Centre, 5301 E Grant Road, Tucson, AZ 85712 | 2019-04-24 |
| 1760953541 | Anna Marissa Ramirez | Nurse Practitioner | 5170 E Glenn St Ste 160, Tucson, AZ 85712 | 2018-12-05 |
| 1407343841 | Imran Ata Md Pllc | Internal Medicine | 3925 E Fort Lowell Rd Ste 105, Tucson, AZ 85712 | 2018-04-20 |
| 1003322926 | Millennium Acupuncture | Acupuncturist | 6161 E Pima St Tucson Az 85712, Apt 2074, Tucson, AZ 85712 | 2017-12-15 |
| Find all providers in zip 85712 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902378342 | Rmercadomd, LLC | Obstetrics & Gynecology | 1500 North Wilmot Road, #c-260, Tucson, AZ 85712-4416 | 2018-12-26 |
| 1730628496 | Douglas Nicholson | Obstetrics & Gynecology | 1480 W Chapala Dr, Tucson, AZ 85704-2037 | 2017-02-14 |
| 1669828232 | Kevin Murphy Jr. | Obstetrics & Gynecology | 3216 N Surging Waters Pl, Tucson, AZ 85712-6627 | 2016-05-12 |
| 1720471212 | John Swain | Obstetrics & Gynecology | 431 N Indian House Rd, Tucson, AZ 85711-2512 | 2015-03-09 |
| 1942625025 | Eugene Randolph Shields | Obstetrics & Gynecology | 2315 W. Ocelot Drive, Tucson, AZ 85713 | 2014-02-26 |
| 1134481740 | Lydia Wester | Obstetrics & Gynecology | 2424 N Wyatt Dr Fl 2, Tucson, AZ 85712-6115 | 2012-06-10 |
| 1619234671 | Rachel L Darche | Obstetrics & Gynecology | Bumct Obstetrics Gynecology, 1501 N Campbell Ave, 8th Floor, Tucson, AZ 85724-0001 | 2012-04-16 |
| 1023306479 | Erin Sperry Sperry Schlueter | Obstetrics & Gynecology | 2424 N. Wyatt Drive, Tucson, AZ 85712 | 2011-07-19 |
| 1558659144 | Carleyna Mariah Dancing Star Nunes | Obstetrics & Gynecology | 7494 N. Lacholla Blvd., Tucson, AZ 85741 | 2011-07-15 |
| 1366734998 | Jeffrey David Johnson | Obstetrics & Gynecology | 6130 N La Cholla Blvd Ste 135a, Tucson, AZ 85741-3557 | 2011-05-16 |
| Find all providers in TUCSON | ||||
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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.