GENESIS MEDICAL CONCEPTS, LLC (NPI# 1376913301) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376913301 |
| Entity Type | Organization |
| Organization Name | GENESIS MEDICAL CONCEPTS, LLC |
| Practice Address |
2020 8th Ave Ste 222 West Linn OR 97068 |
| Mailing Address |
1710 Willow Creek Cir Ste 1 Eugene OR 97402-9192 |
| Practice Telephone | 5033446642 |
| Practice Fax Number | 5033057045 |
| Mailing Telephone | 8773433758 |
| Mailing Fax Number | 5418524110 |
| Enumeration Date | 2015-10-02 |
| Last Update Date | 2019-06-11 |
| Authorized Official Name | JOHN GREGORY (OWNER) |
| Authorized Official Telephone | 5033446642 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | 2008974 | OR | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | CITY OF LAKE OSWEGO BUSINESS LICENSE | 2008974 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1710 Willow Creek Cir, Ste 1, Eugene, OR 974029192 | 8773433758 | 5418524110 |
| Street Address |
2020 8TH AVE STE 222 |
| City | WEST LINN |
| State | OR |
| Zip Code | 97068 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023678224 | Bethany Joy Bivin | Registered Nurse | 2020 8th Ave Ste 230, West Linn, OR 97068 | 2019-06-19 |
| 1932612777 | Portland Dental Works, LLC | Dentist | 1750 Mckillican, West Linn, OR 97068 | 2017-11-15 |
| 1316460702 | Cameron Johnson Dc LLC | Chiropractor | 21400 Salamo Rd, West Linn, OR 97068 | 2017-07-18 |
| 1780052977 | Amanda Carole Tipton | Chiropractor | 21860 Willamette Drive, West Linn, OR 97068 | 2015-09-04 |
| 1457766859 | Eyedeology, Inc | Optometrist | 5656 Hood St. Ste 107, West Linn, OR 97068 | 2014-06-24 |
| 1740694660 | Ariana Bissinger | Nurse Practitioner | 1148 Rosemont Rd, West Linn, OR 97068 | 2014-06-18 |
| 1154606887 | Heather Marie Ellison | Massage Therapist | 22000 Willamette Dr., #107, West Linn, OR 97068 | 2011-10-13 |
| 1336432616 | Lisa Grage | Dental Hygienist | 3551 Coeur D'alene Dr., West Linn, OR 97068 | 2011-05-19 |
| 1316240583 | David Robert Gleave | Psychologist | 1800 Blankenship Rd Ste 200, West Linn, OR 97068 | 2010-12-10 |
| 1922312149 | Richard Barrett King | Behavioral Analyst | 19890 Roan Circle, West Linn, OR 97068 | 2010-07-29 |
| Find all providers in zip 97068 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134781214 | Protalus Usa LLC | Durable Medical Equipment & Medical Supplies | 1750 Blankenship Rd Ste 125, West Linn, OR 97068-5104 | 2019-06-28 |
| 1073080644 | Genteel, LLC | Durable Medical Equipment & Medical Supplies | 2904 Rawhide St, West Linn, OR 97068-2313 | 2018-10-31 |
| 1629341078 | Columbia Medical Supply, LLC | Durable Medical Equipment & Medical Supplies | 20643 Noble Ln, West Linn, OR 97068-7223 | 2012-02-15 |
| 1013946060 | Safeway Inc | Durable Medical Equipment & Medical Supplies | 22000 Salamo Rd, West Linn, OR 97068-7230 | 2006-07-02 |
| 1518232529 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 19133 Willamette Dr, West Linn, OR 97068-2019 | 2012-03-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457959272 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 281 Laclair St Rm 135, Coos Bay, OR 97420-2988 | 2020-10-14 |
| 1730794181 | Wound Pros Oregon | Durable Medical Equipment & Medical Supplies | 10260 Sw Greenburg Road 4th Floor, Portland, OR 97223-5500 | 2020-09-12 |
| 1881209385 | Oregon Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 12555 Nw Cornell Rd, Portland, OR 97229-5683 | 2020-09-11 |
| 1902423676 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 1600 Se Court Pl Ste P, Pendleton, OR 97801-3281 | 2020-06-29 |
| 1851914618 | Bellevue Healthcare II Inc | Durable Medical Equipment & Medical Supplies | 61580 American Ln, Bend, OR 97702-9792 | 2020-05-27 |
| 1538799333 | Big Creek Medical Supplies Inc | Durable Medical Equipment & Medical Supplies | 1664 N Coast Hwy, Newport, OR 97365 | 2020-01-21 |
| 1184260325 | Pacific O&p LLC | Durable Medical Equipment & Medical Supplies | 1050 Sw 6th Ave Ste 1100, Portland, OR 97204-1153 | 2019-11-22 |
| 1790335073 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 621 W Madrone St Ste P1, Roseburg, OR 97470-3090 | 2019-09-18 |
| 1386294379 | Oregon Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 8145 Se 17th Ave, Portland, OR 97202-6718 | 2019-09-12 |
| 1346899721 | Oregon Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 345 Sw Harrison St, Portland, OR 97201-5364 | 2019-09-09 |
| 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.