GENESIS HEALTH SYSTEM (NPI# 1295841047) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295841047 |
| Entity Type | Organization |
| Organization Name | GENESIS HEALTH SYSTEM |
| Other Organization Name | GENESIS HEALTH GROUP |
| Practice Address |
619 5th Street Durant IA 52747 |
| Mailing Address |
865 Lincoln Rd Ste L10 Bettendorf IA 52722-4190 |
| Practice Telephone | 5637854487 |
| Practice Fax Number | 5637856681 |
| Mailing Telephone | 5633559191 |
| Mailing Fax Number | 5633553419 |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2009-09-28 |
| Authorized Official Name | MR. MARK G ROGERS (VICE PRESIDENT) |
| Authorized Official Telephone | 5634216513 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DMERC | 5727210010 | 01 |
| Other Name | Type Code |
|---|---|
| Genesis Health Group | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255692836 | Genesis Health System | Clinic/Center | 1025 30th St, Rock Island, IL 61201-2804 | 2012-05-31 |
| 1902107261 | Genesis Health System | Clinic/Center | 2451 Coral Ct, Suite 1, Coralville, IA 52241-2837 | 2010-11-03 |
| 1902060544 | Genesis Health System | Surgery | 855 Illini Dr Ste 401, Silvis, IL 61282-2904 | 2008-07-14 |
| 1225132640 | Genesis Health System | Family Medicine | 1410 7th St, Moline, IL 61265-2916 | 2006-09-08 |
| 1528177672 | Genesis Health System | Family Medicine | 3827 W Locust St, Davenport, IA 52804-3011 | 2006-08-30 |
| 1770699043 | Genesis Health System | Family Medicine | 205 11th St, Port Byron, IL 61275-9037 | 2006-08-21 |
| 1386750537 | Genesis Health System | Family Medicine | 532 N Cody Rd, Leclaire, IA 52753-9645 | 2006-08-21 |
| 1447204375 | Genesis Health System | Long Term Care Hospital | 1455 Hospital Rd, Silvis, IL 61282-1834 | 2006-05-22 |
| 1679525562 | Genesis Health System | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1236 E Rusholme St Ste 150, Davenport, IA 52803-2433 | 2006-05-17 |
| 1538110218 | Genesis Health System | Clinic/Center | 2350 41st St, Moline, IL 61265-5014 | 2006-05-15 |
| Street Address |
619 5TH STREET |
| City | DURANT |
| State | IA |
| Zip Code | 52747 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689670747 | Anna M Hansen | Physician Assistant | 619 5th Street, Durant, IA 52747 | 2005-06-23 |
| 1659369353 | Mark P Iltis | Family Medicine | 619 5th Street, Durant, IA 52747 | 2005-10-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003915489 | Kevin William Paustian | Chiropractor | 902 5th St, Durant, IA 52747 | 2006-09-21 |
| 1801845581 | Carla S Courtney | Optometrist | 409 8th Ave, Durant, IA 52747 | 2006-05-09 |
| 1639159700 | Ora Orthopedics, PC | Registered Nurse | 621 5th Street, Durant, IA 52747 | 2006-01-17 |
| 1205373024 | Sweet Pea Chiropractic, LLC | Chiropractor | 210 5th St, Durant, IA 52747 | 2017-01-31 |
| 1730622788 | Karen Ann Hunter | Chiropractor | 210 5th St, Durant, IA 52747 | 2016-11-23 |
| 1104926260 | Lisa Lynn Geurink | Chiropractor | 902 5th St, Durant, IA 52747 | 2006-09-25 |
| 1811947849 | Courtney Eye Care, P.C. | Optometrist | 409 8th Ave, Durant, IA 52747 | 2006-05-11 |
| 1376670364 | Richard Wayne Grunder | Dentist | 501 Ninth Avenue, Durant, IA 52747-0066 | 2007-02-27 |
| 1821167883 | Durant Ambulance Service, Inc. | Ambulance | 703 5th Street, Durant, IA 52747-0643 | 2006-11-06 |
| 1851456578 | Durant Community School District | Local Education Agency (LEA) | 408 7th St, Durant, IA 52747-7708 | 2006-12-22 |
| Find all providers in zip 52747 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144585639 | Alexander C Roby | Family Medicine | 5109 Valley View Dr, Durant, OK 74701-7742 | 2012-07-10 |
| 1629332952 | Timothy Ryan Newton | Family Medicine | 424 N 2nd Ave, Durant, OK 74701-4116 | 2012-07-02 |
| 1417036104 | Tiffany Dawn Burke | Family Medicine | 1312 N 1st Ave, Durant, OK 74701-2810 | 2006-11-03 |
| 1497843676 | Wirt Fletcher Shrock Jr. | Family Medicine | 630 Northwest Ave, Durant, MS 39063-3337 | 2006-10-11 |
| 1962432625 | Gastorf Family Clinic PC | Family Medicine | 1004 N 19th Ave Bldg 2, Durant, OK 74701-3017 | 2006-07-05 |
| 1952339558 | Kd Family Care Center Pllc | Family Medicine | 720 Bryan Dr, Suite A, Durant, OK 74701-7032 | 2006-06-30 |
| 1669467312 | Phyllis Pyrum Engles | Family Medicine | 1802 Radio Rd, Durant, OK 74701-2006 | 2005-09-19 |
| 1619961943 | Chris L Sturch | Family Medicine | 1727 Chuckwa Dr, Suite 500, Durant, OK 74701-2151 | 2005-09-01 |
| 1821090572 | David W Dillow | Family Medicine | 1600 W University Blvd, Durant, OK 74701-3094 | 2005-08-12 |
| 1124020193 | Michael A Lee | Family Medicine | 1708 Delivery Lane, Durant, OK 74701-3016 | 2005-08-10 |
| Find all providers in DURANT | ||||
Please comment or provide details below to improve the information on GENESIS HEALTH SYSTEM.
| 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.