ASCENSION MEDICAL GROUP GENESYS (NPI# 1215410436) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215410436 |
| Entity Type | Organization |
| Organization Name | ASCENSION MEDICAL GROUP GENESYS |
| Practice Address |
3495 S Center Rd Burton MI 48519-1455 |
| Practice Telephone | 8104242136 |
| Practice Fax Number | 8102494149 |
| Mailing Telephone | 8104242136 |
| Mailing Fax Number | 8102494149 |
| Enumeration Date | 2018-09-13 |
| Last Update Date | 2020-08-18 |
| Authorized Official Name | RANDOLPH KUMMLER (CEO) |
| Authorized Official Telephone | 8104242025 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal 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 |
| 1982170312 | Ascension Medical Group Genesys | Internal Medicine | 1096 S Belsay Rd Ste C, Burton, MI 48509-1948 | 2018-10-24 |
| 1598248718 | 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 |
3495 S CENTER RD |
| City | BURTON |
| State | MI |
| Zip Code | 48519-1455 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912956723 | Genesys Integrated Group Practice PC | Internal Medicine | 3495 S Center Rd, Burton, MI 48519-1455 | 2006-05-09 |
| 1598248718 | Ascension Medical Group Genesys | Internal Medicine | 3495 S Center Rd, Burton, MI 48519-1455 | 2018-09-13 |
| 1154879682 | Clara Nassif | Pharmacist | 3495 S Center Rd, Burton, MI 48519-1455 | 2016-09-13 |
| 1275820110 | Genesys Pho LLC | Case Management | 3495 S Center Rd, Burton, MI 48519-1455 | 2011-06-29 |
| 1801939475 | Genesys Integrated Group Practice PC | Physician Assistant | 3495 S Center Rd, Burton, MI 48519-1455 | 2007-02-14 |
| 1598868622 | Robert R Bates | Psychologist | 3495 S Center Rd, Burton, MI 48519-1455 | 2006-09-06 |
| 1467564500 | Munroop Randhawa | Family Medicine | 3495 S Center Rd, Burton, MI 48519-1455 | 2006-08-31 |
| 1073556197 | Genesys Integrated Group Practice PC | Internal Medicine | 3495 S Center Rd, Burton, MI 48519-1455 | 2006-06-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710588876 | Coty Cole | Nurse Practitioner | 2065 South Center Rd, Ste A, Burton, MI 48519 | 2020-11-05 |
| 1821621830 | Leora Sharon Hughes | Massage Therapist | 2065 S. Center Road, Burton, MI 48519 | 2020-02-18 |
| 1598249492 | Kayvon Anthony Parvizi | Pharmacist | G-2333 Center Rd, Burton, MI 48519 | 2018-09-18 |
| 1417441551 | Hurley Medical Center | Clinic/Center | 2065 S. Center Rd., Burton, MI 48519 | 2018-06-21 |
| 1851522684 | Joyce Ann Brantley | Chore Provider | 6097 Surrey Lane, Burton, MI 48519 | 2009-07-28 |
| 1992917157 | Steven J Neirink, Dpm, PC | Podiatrist | 3014 South Genesee Road, Burton, MI 48519 | 2007-05-03 |
| 1407986813 | Ellen Johnson | Psychiatry & Neurology | 4165 E Lippincott Blvd, Burton, MI 48519 | 2007-03-06 |
| 1477692036 | Meijer Inc | Durable Medical Equipment & Medical Supplies | G-2333 South Center Rd, Burton, MI 48519 | 2007-02-06 |
| 1639225923 | Trina Floyd | Dentist | 4085 S. Center Rd., Suite #2, Burton, MI 48519 | 2007-01-27 |
| 1538222823 | Genesee Family Care PC | Family Medicine | 3020 South Genesee Rd, Burton, MI 48519 | 2006-12-18 |
| Find all providers in zip 48519 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive 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 |
|---|---|---|---|---|
| 1982170312 | Ascension Medical Group Genesys | Internal Medicine | 1096 S Belsay Rd Ste C, Burton, MI 48509-1948 | 2018-10-24 |
| 1033434386 | Shukairy P.C. | Internal Medicine | 1501 S Center Rd Bldg B, Burton, MI 48509-1731 | 2010-03-30 |
| 1912128919 | Juliette Marie Perzhinsky | Internal Medicine | 3525 Saginaw Rd., Burton, MI 48529 | 2007-05-01 |
| 1235231903 | Jagdish Shah | Internal Medicine | 4001 Walli Strasse Dr, Suite B, Burton, MI 48509-1729 | 2006-09-02 |
| 1912956723 | Genesys Integrated Group Practice PC | Internal Medicine | 3495 S Center Rd, Burton, MI 48519-1455 | 2006-05-09 |
| 1427678440 | Michigan Telemed, Pllc | Internal Medicine | 4050 Walli Strasse Dr, Burton, MI 48509-1727 | 2020-04-20 |
| 1598248718 | Ascension Medical Group Genesys | Internal Medicine | 3495 S Center Rd, Burton, MI 48519-1455 | 2018-09-13 |
| 1831317536 | Genesys Integrated Group Practice PC | Internal Medicine | 1096 S Belsay Rd, Suite C, Burton, MI 48509-1948 | 2007-04-20 |
| 1659418663 | Mclaren Medical Group | Internal Medicine | 1459 S Center Rd, Burton, MI 48509-1726 | 2007-01-31 |
| 1831291509 | Abdulkader Abdulrazzak | Internal Medicine | 1513 S Center Rd, Burton, MI 48509-1728 | 2006-09-02 |
| 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.