GENESIS ELDERCARE PHYSICIANS LLC (NPI# 1245613298) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245613298 |
| Entity Type | Organization |
| Organization Name | GENESIS ELDERCARE PHYSICIANS LLC |
| Practice Address |
400 E 5350 S Ogden UT 84405-6931 |
| Mailing Address |
Po Box 42738 Towson MD 21284-2738 |
| Practice Telephone | 8014799855 |
| Mailing Telephone | 4108327790 |
| Enumeration Date | 2015-07-08 |
| Last Update Date | 2018-04-13 |
| Authorized Official Name | MR. ERIC SHAPIRO (VP, AREA CONTROLLER) |
| Authorized Official Telephone | 4108327790 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
Allopathic & Osteopathic Physicians |
| Street Address |
400 E 5350 S |
| City | OGDEN |
| State | UT |
| Zip Code | 84405-6931 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366497794 | Peak Medical of Utah, LLC | Skilled Nursing Facility | 400 E 5350 S, Ogden, UT 84405-6931 | 2006-05-24 |
| 1669017919 | Kaitlin Evans | Physical Therapy Assistant | 400 E 5350 S, Ogden, UT 84405-6931 | 2019-11-11 |
| 1235795972 | Beaver Valley Hospital | Skilled Nursing Facility | 400 E 5350 S, Ogden, UT 84405-6931 | 2019-05-17 |
| 1053871608 | Kirstine Adamson | Physical Therapy Assistant | 400 E 5350 S, Ogden, UT 84405-6931 | 2019-03-20 |
| 1518202738 | Traci Roberta Myers | Physical Therapy Assistant | 400 E 5350 S, Ogden, UT 84405-6931 | 2012-11-28 |
| 1336483965 | William Weymouth Bates Jr. | Occupational Therapist | 400 E 5350 S, Ogden, UT 84405-6931 | 2012-11-20 |
| 1164627345 | Scott Hurley | Occupational Therapy Assistant | 400 E 5350 S, Ogden, UT 84405-6931 | 2007-06-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669028171 | Alyssa House | Behavioral Analyst | 4933 1500 West #110, Riverdale, UT 84405 | 2019-08-12 |
| 1518525989 | Petersen Farms Assisted Living & Memory Care | Assisted Living Facility | 6980 S. 475 E., South Weber, UT 84405 | 2019-05-31 |
| 1376038141 | National Vision, Inc. | Technician/Technologist | 821 West Riverdale Road, Riverdale, UT 84405 | 2018-06-25 |
| 1194218461 | South Weber City | Ambulance | 7365 S 1375 E, South Weber, UT 84405 | 2018-06-12 |
| 1528572682 | Sandra Jo Scott | Dental Hygienist | 264 W Ridgeline Dr, Washington Terrace, UT 84405 | 2017-11-28 |
| 1376079061 | Loretta Shupe | Registered Nurse | 5319 S 500 E, Ogden, UT 84405 | 2017-05-02 |
| 1134661374 | Randy Ferrin | Registered Nurse | 5697 Maplewood Drive, South Ogden, UT 84405 | 2016-11-04 |
| 1871046284 | Karla Rosen | Counselor | 5202 S. Freeway Park Dr., Riverdale, UT 84405 | 2016-08-02 |
| 1053784520 | Jenifer Rebecca Nilson Smith | Physical Therapist | 5648 S. Adams Ave, Washington Terrace, UT 84405 | 2015-11-05 |
| 1972976454 | Jenniferlyn Fletcher | Physical Therapy Assistant | 5648 South Adams Ave, Washington Terrace, UT 84405 | 2015-11-05 |
| Find all providers in zip 84405 | ||||
| Taxonomy Code | 207RG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Geriatric Medicine |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164502662 | Joseph A Conrad | Internal Medicine | 425 E 5350 S, Suite 335, Ogden, UT 84405-6946 | 2006-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255981643 | Wasatch Senior and Family Care LLC | Internal Medicine | 160 W 500 N, Heber City, UT 84032-1206 | 2019-09-17 |
| 1124598198 | Loren Kyle Gulbranson | Internal Medicine | Dixie Regional Medical Center, 515 South, 300 East, Saint George, UT 84770 | 2018-12-03 |
| 1497221618 | Senior Health LLC | Internal Medicine | 576 W 900 S Ste 103, Woods Cross, UT 84010-8232 | 2018-10-15 |
| 1700988656 | Robert S Powel | Internal Medicine | 9350 S 150 E Ste 150, Sandy, UT 84070-2703 | 2006-09-01 |
| 1083638308 | Mark Andrew Supiano | Internal Medicine | University of Utah Healthcare, 30 North 1900 East; Ab193 Som, Salt Lake City, UT 84132-0001 | 2006-07-27 |
| 1568489375 | Rachael Stubbs | Internal Medicine | 2981 Juliet Way, Salt Lake City, UT 84121-7023 | 2006-07-16 |
| 1265475131 | Byron Bair | Internal Medicine | Slc Vamc Grecc (182), 500 Foothill Blvd, Salt Lake City, UT 84148-0001 | 2006-06-14 |
| 1457398703 | Randall W. Rupper | Internal Medicine | Grecc (182) Bldg. 2, Vamc, 500 Foothill Drive, Salt Lake City, UT 84148-0001 | 2006-06-02 |
| 1790779106 | Bonnie J Lee | Internal Medicine | 554 S 800 E, Slc, UT 84102-2931 | 2005-08-31 |
| 1609263300 | Shannon M. Devlin | Internal Medicine | 30 N 1900 E Rm 4c104, Salt Lake City, UT 84132-0002 | 2015-04-20 |
| Find all providers with the same taxonomy | ||||
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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.