GENESIS MEDICAL GROUP LLC (NPI# 1063663433) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063663433 |
| Entity Type | Organization |
| Organization Name | GENESIS MEDICAL GROUP LLC |
| Practice Address |
945 Bethesda Dr Ste 200 Zanesville OH 43701-1880 |
| Mailing Address |
945 Bethesda Dr Suite 200 Zanesville OH 43701-0801 |
| Practice Telephone | 7404506147 |
| Mailing Telephone | 7404506147 |
| Enumeration Date | 2008-10-03 |
| Last Update Date | 2014-12-10 |
| Authorized Official Name | MR. PAUL D MASTERSON (ASSIST. TREASURER) |
| Authorized Official Telephone | 7404544637 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207KA0200X |
Allergy & Immunology Specialization: Allergy |
Allopathic & Osteopathic Physicians | ||
| N | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians | ||
| N | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
Allopathic & Osteopathic Physicians | ||
| N | 207RI0200X |
Internal Medicine Specialization: Infectious Disease |
Allopathic & Osteopathic Physicians | ||
| N | 207T00000X | Neurological Surgery | Allopathic & Osteopathic Physicians | ||
| N | 207Y00000X | Otolaryngology | Allopathic & Osteopathic Physicians | ||
| N | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians | ||
| N | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Allopathic & Osteopathic Physicians | ||
| N | 208VP0000X |
Pain Medicine Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians | ||
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2861809 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437218526 | Genesis Medical Group LLC | Clinic/Center | 712 China Street, Crooksville Family Clinic Inc., Crooksville, OH 43731-1124 | 2006-12-06 |
| 1013214014 | Genesis Medical Group LLC | Prosthetic/Orthotic Supplier | 10802 Se Washington St, Portland, OR 97216-3118 | 2011-02-28 |
| Street Address |
945 BETHESDA DR STE 200 |
| City | ZANESVILLE |
| State | OH |
| Zip Code | 43701-1880 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922150713 | Stuart J Chow | Specialist | 945 Bethesda Dr Ste 200, Zanesville, OH 43701-1880 | 2007-01-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932694791 | Robert Edward Russell II | Counselor | 1590 Coal Run Rd., Zanesville, OH 43701 | 2018-06-25 |
| 1871010975 | Amy Caroline Blackford | Occupational Therapist | 4039 Old Wheeling Road, Zanesville, OH 43701 | 2017-08-29 |
| 1598286825 | Michele Ann Ehrnfield | Counselor | 930 Bethesda Drive, Zanesville, OH 43701 | 2017-06-27 |
| 1306382163 | Nadine Curry | Counselor | 4509 Pinkerton Rd, Foxfire Schools, Zanesville, OH 43701 | 2017-01-17 |
| 1669916219 | Kathleen Caughell | Counselor | 1590 Coal Run Rd, Zanesville, OH 43701 | 2016-12-15 |
| 1154877728 | Katherine Williams | Registered Nurse | 1125 Ellis Dam Rd, Zanesville, OH 43701 | 2016-09-01 |
| 1801342415 | Foxfire Intermediate School | Local Education Agency (LEA) | 2805 Pinkerton Road, Zanesville, OH 43701 | 2016-09-01 |
| 1770936353 | Tiffany Branson | Nurse Practitioner | 955 Bethesda Drive, 1st Floor, Zanesville, OH 43701 | 2016-07-19 |
| 1194175497 | Life Support Therapy Services LLC | Counselor | 941 Blue Ave, Zanesville, OH 43701 | 2016-06-16 |
| 1669876546 | Tami Sue Wofter | Licensed Practical Nurse | 21 Butler Drive, Zanesville, OH 43701 | 2014-10-21 |
| Find all providers in zip 43701 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558751602 | David Grant Stainbrook Sr. | General Practice | 2718 Center Dr, Zanesville, OH 43701-1427 | 2015-01-28 |
| 1023107893 | Joseph C Eichel | General Practice | 1875 Aspen Dr, Zanesville, OH 43701-1593 | 2006-10-12 |
| 1497005193 | Genesis Healthcare System | General Practice | 2951 Maple Avenue, Zanesville, OH 43701-1406 | 2012-09-11 |
| 1457619991 | Zanesville Medical Center Inc | General Practice | 1400 Brandywine Blvd, Zanesville, OH 43701-1083 | 2012-05-02 |
| 1801123807 | Lisa Knight Flarey, D.o., Inc. | General Practice | 945 Bethesda Dr, Suite 240, Zanesville, OH 43701-0801 | 2009-11-11 |
| 1619178837 | Maria Jamiolkowski Do Inc | General Practice | 945 Bethesda Dr, Suite 110, Zanesville, OH 43701-0801 | 2007-05-29 |
| 1467552570 | Carl Gordon Schowengerdt | General Practice | 716 Adair Ave, Zanesville, OH 43701-2836 | 2006-09-25 |
| 1528056447 | Vicki Ann Whitacre | General Practice | 716 Adair Ave, Zanesville, OH 43701-2836 | 2005-10-13 |
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| 1265078497 | Jaime L Go Md Inc | General Practice | 1200 Resource Dr, Brooklyn Hts, OH 44131-1849 | 2019-11-22 |
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| 1063062354 | Independent Physical Medicine LLC | General Practice | 3469 W Elm St, Lima, OH 45807-2226 | 2019-09-18 |
| 1861041535 | Allied Medical Integration, LLC | General Practice | 7067 Tiffany Blvd Ste 280, Poland, OH 44514-1803 | 2019-09-05 |
| Find all providers with the same taxonomy | ||||
| City | ZANESVILLE |
| Zip Code | 43701 |
Please comment or provide details below to improve the information on GENESIS MEDICAL GROUP LLC.
| 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.