GENESIS ELDERCARE PHYSICIANS SERVICES LLC (NPI# 1346623386) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346623386 |
| Entity Type | Organization |
| Organization Name | GENESIS ELDERCARE PHYSICIANS SERVICES LLC |
| Practice Address |
1201 Daly Dr New Haven IN 46774-1891 |
| Mailing Address |
Po Box 42738 Towson MD 21284-2738 |
| Practice Telephone | 2607490413 |
| 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 |
1201 DALY DR |
| City | NEW HAVEN |
| State | IN |
| Zip Code | 46774-1891 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912930223 | Adams County Memorial Hospital | Skilled Nursing Facility | 1201 Daly Dr, New Haven, IN 46774 | 2006-07-09 |
| 1235667700 | Morgan Hill | Physical Therapy Assistant | 1201 Daly Dr, New Haven, IN 46774-1891 | 2017-05-30 |
| 1477006252 | Rachel Ottenweller | Physical Therapy Assistant | 1201 Daly Dr, New Haven, IN 46774-1891 | 2016-07-28 |
| 1841600459 | Stacy Eckstein | Speech-Language Pathologist | 1201 Daly Dr, New Haven, IN 46774-1891 | 2014-05-05 |
| 1740524248 | Stephanie Rose Kline | Speech-Language Pathologist | 1201 Daly Dr, New Haven, IN 46774-1891 | 2012-11-21 |
| 1174867675 | Sarah Elizabeth Hellinger | Physical Therapy Assistant | 1201 Daly Dr, New Haven, IN 46774-1891 | 2012-11-21 |
| 1992049555 | Andrea Elizabeth Kever | Occupational Therapy Assistant | 1201 Daly Dr, New Haven, IN 46774-1891 | 2012-11-20 |
| 1023223633 | Innovative Health Concepts | Nurse Practitioner | 1201 Daly Dr, New Haven, IN 46774-1891 | 2007-05-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235659236 | Tyann Nicole Sanchez | Doula | 16018 Platter Road, New Haven, IN 46774 | 2017-06-21 |
| 1073673430 | Benjamin Craig Swinehart | Physical Therapist | 10876 Isabelle Dr., New Haven, IN 46774 | 2006-12-08 |
| 1922520410 | Claressa Sue Brekke | Physical Therapist | 1316 Minnich Rd, New Haven, IN 46774 | 2017-07-17 |
| 1750558706 | Kristen Zurbuch Ms Ccc-slp | Speech-Language Pathologist | 3117 Pawnee Ct, New Haven, IN 46774 | 2008-05-09 |
| 1548442197 | Brackmann & Hockemeyer Optometry Inc | Optometrist | 1010 Boulder Ridge Trl, New Haven, IN 46774-0010 | 2007-12-05 |
| 1023349255 | Elzabeth K Hartup | Specialist | 8805 Edwardsberg Pl, New Haven, IN 46774-1079 | 2010-01-28 |
| 1417365958 | Jeremy Oyer | Physical Therapy Assistant | 8805 Edwardsberg Pl, New Haven, IN 46774-1079 | 2014-07-29 |
| 1467728204 | Jeremy Duane Stewart | Physical Therapy Assistant | 156 Sturm St, New Haven, IN 46774-1141 | 2012-03-27 |
| 1215313911 | Theresa Schortgen | Health Educator | 146 N Rufus St, New Haven, IN 46774-1162 | 2015-08-04 |
| 1801882188 | Susan L Bosler | Chiropractor | 108 Landin Rd, New Haven, IN 46774-1168 | 2005-09-22 |
| Find all providers in zip 46774 | ||||
| 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 |
|---|---|---|---|---|
| 1003113762 | Jennifer Anne Freimund | Internal Medicine | 1450 Chapel St Ste 107, New Haven, CT 06511-4405 | 2011-02-16 |
| 1477583540 | Geraldine M Fabregas | Internal Medicine | 280 Alden Ave, New Haven, CT 06515-2114 | 2006-07-04 |
| 1033119813 | Asefeh Heiat | Internal Medicine | 390 Livingston St, New Haven, CT 06511-1336 | 2005-07-22 |
| 1174935209 | Moyosore Omowumi Abimboye | Internal Medicine | 20 York St, Ynhh Geriatric Medicine, New Haven, CT 06510-3220 | 2014-05-23 |
| 1184999229 | Jennifer Ouellet | Internal Medicine | 20 York St # T-209, Yale-new Haven Hospital, New Haven, CT 06510-3220 | 2012-03-21 |
| 1851666085 | Gregory Michael Ouellet | Internal Medicine | 874 Howard Ave, New Haven, CT 06519 | 2012-03-21 |
| 1598080384 | Hsiao-ying Chin | Internal Medicine | 874 Howard Ave, Basement - Room 007, New Haven, CT 06519-1106 | 2010-04-05 |
| 1891019675 | Mill Hill Medical Consultants Inc | Internal Medicine | 874 Howard Ave, New Haven, CT 06519-1106 | 2010-03-23 |
| 1164658233 | Marcia Cathleen Mecca | Internal Medicine | 874 Howard Ave, New Haven, CT 06519-1106 | 2009-06-03 |
| 1972740124 | Ronald L. Miller | Internal Medicine | 874 Howard Ave, New Haven, CT 06519-1106 | 2009-01-09 |
| Find all providers in NEW HAVEN | ||||
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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.