GENESIS ELDER CARE PHYSICIAN SERVICES LLC


Address: 6508 Deer Pointe Dr Ste A, Salisbury, MD 21804
Phone: 4105431957

GENESIS ELDER CARE PHYSICIAN SERVICES LLC (NPI# 1245579762) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1245579762
Entity Type Organization
Organization Name GENESIS ELDER CARE PHYSICIAN SERVICES LLC
Practice Address 6508 Deer Pointe Dr Ste A
Salisbury
MD 21804
Mailing Address Po Box 62946
Baltimore
MD 21264-2946
Practice Telephone 4105431957
Practice Fax Number 4105432951
Mailing Telephone 4104947607
Mailing Fax Number 6109257387
Enumeration Date 2013-02-04
Last Update Date 2019-08-05
Authorized Official Name ERIC SHAPIRO (VICE PRESIDENT)
Authorized Official Telephone 4108327790
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207R00000X Internal Medicine C196800 ID Allopathic & Osteopathic Physicians
N 207RG0300X Internal Medicine
Specialization: Geriatric Medicine
Allopathic & Osteopathic Physicians
N 207RP1001X Internal Medicine
Specialization: Pulmonary Disease
C196800 ID Allopathic & Osteopathic Physicians
N 363A00000X Physician Assistant C196800 ID Physician Assistants & Advanced Practice Nursing Providers
N 363L00000X Nurse Practitioner C196800 ID Physician Assistants & Advanced Practice Nursing Providers
N 363LA2200X Nurse Practitioner
Specialization: Adult Health
C196800 ID Physician Assistants & Advanced Practice Nursing Providers
N 363LG0600X Nurse Practitioner
Specialization: Gerontology
C196800 ID Physician Assistants & Advanced Practice Nursing Providers
Y 207RG0300X Internal Medicine
Specialization: Geriatric Medicine
C196800 ID Allopathic & Osteopathic Physicians

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1194774943 Genesis Elder Care Physician Services LLC Nurse Practitioner 660 Commonwealth Avenue, Warwick, RI 02886-2707 2006-05-09
1447510714 Genesis Elder Care Physician Services LLC Skilled Nursing Facility 200 Civic Ave, Salisbury, MD 21804-4599 2012-05-21
1326283045 Genesis Elder Care Physician Services LLC Internal Medicine 6508 Deer Pointe Dr, Suite A, Salisbury, MD 21804-1668 2008-12-09
1285653451 Genesis Elder Care Physician Services LLC Family Medicine 161 Bakers Ridge Rd, Morgantown, WV 26508-1459 2006-07-19

Office Location

Street Address 6508 DEER POINTE DR STE A
City SALISBURY
State MD
Zip Code 21804

Providers in the same location

NPI Name Taxonomy Address Enumeration
1609180926 Genesis Eldercare Physician Services LLC Family Medicine 6508 Deer Pointe Dr Ste A, Salisbury, MD 21804 2010-07-28
1831527308 Geps Physician Group of North Carolina PC Physician Assistant 6508 Deer Pointe Dr Ste A, Salisbury, MD 21804 2013-10-21

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1578125969 Lifes Energy Wellness Center Inc. Community/Behavioral Health 2324 West Zion Road Suite, Suite 112, Salisbury, MD 21804 2019-07-05
1578125340 Lifes Energy Wellness Center Inc. Counselor 2324 West Zion Road Suite 112, Suite 112, Salisbury, MD 21804 2019-07-02
1093377855 Lifes Energy Wellness Center Inc. Clinic/Center 2324 West Zion Road Suite #112, Salisbury, MD 21804 2019-07-02
1356904874 Carly Showell Finkbeiner Behavioral Analyst 30507 Foxchase Dr, Salisbury, MD 21804 2019-04-19
1750844940 Clifton Waters Driver 206 Davis St, Salisbury, MD 21804 2019-04-13
1487125415 Rebecca J. Raygor Social Worker Wicomico High School, 201 Long Ave., Salisbury, MD 21804 2018-12-17
1639662745 Peninsula Physical Therapy, LLC Physical Therapist 720 E College Ave Ste 11, Salisbury, MD 21804 2018-06-13
1376079533 Kerry Choplin Behavior Technician 8032 Snow Hill Rd., Salisbury, MD 21804 2017-05-10
1558892992 Three Lower Counties Community Services, Inc. Clinic/Center 1647 Woodbrooke Drive, Salisbury, MD 21804 2017-03-27
1508304759 Driven Physiotherapy, LLC Clinic/Center 1029 Zircon Ct., Salisbury, MD 21804 2017-02-08
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Taxonomy Information

Taxonomy Code 207RG0300X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Geriatric Medicine

Taxonomy Definition

An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.
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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1043409659 Dr. Asma Al-hamid, P.C. Internal Medicine 106 Pine Bluff Rd, Suite 12, Salisbury, MD 21801-7161 2007-10-19
1427156025 Parag Shanti Dalsania Internal Medicine 1601 Brenner Ave, Vamc, Primcary Care Service Line - 11a, Salisbury, NC 28144-2515 2006-09-20
1568432797 Ghulam Waris Internal Medicine 926 Snow Hill Rd, Salisbury, MD 21804-1939 2006-01-23

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1407409253 Health Practice Partners LLC Internal Medicine 8028 Ritchie Hwy Ste 210b, Pasadena, MD 21122-1059 2019-07-22
1437613163 Johns Hopkins University Internal Medicine 5210 Eastern Avenue, Alpha Center, Baltimore, MD 21224 2019-01-28
1598252371 Wayne Medical Associate, Inc. Internal Medicine 7207 Hanover Pkwy Ste A, Greenbelt, MD 20770-2089 2018-04-17
1649775933 Old Fashion Medicine, Inc Internal Medicine 95 Gatepost Lane, Apartment 1b, Frederick, MD 21701 2018-03-28
1982102943 3s Health LLC Internal Medicine 10400 Connecticut Ave Ste 206, Kensington, MD 20895-3941 2018-01-24
1225572233 Pamela Denise Ponder Internal Medicine 2603 Portola Court, Odenton, MD 21113 2016-12-09
1912371832 Phillip W. Stone, Md, LLC Internal Medicine 16013 Fields End Ct, Woodbine, MD 21797-7542 2015-11-16
1598023194 Health First Medical Care LLC Internal Medicine 9650 Santiago Rd Ste 6, Columbia, MD 21045-3960 2012-05-02
1609141795 Mattan Schuchman Internal Medicine 5210 Eastern Ave, Alpha Center #127, Baltimore, MD 21224 2012-03-21
1013204171 Chantal Youssef Internal Medicine 13105 Bucks Ridge Ct, Ellicott City, MD 21042 2011-07-08
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Competitor

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City SALISBURY
Zip Code 21804

Improve Information

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Dataset Information

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.

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