GENESYS REGIONAL MEDICAL CENTER (NPI# 1538386909) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538386909 |
| Entity Type | Organization |
| Organization Name | GENESYS REGIONAL MEDICAL CENTER |
| Practice Address |
4642 Genesys Parkway Grand Blanc MI 48439-8067 |
| Mailing Address |
Po Box 2015 Flint MI 48501-2015 |
| Practice Telephone | 8106065830 |
| Practice Fax Number | 8106065639 |
| Mailing Telephone | 8106065830 |
| Mailing Fax Number | 8106065639 |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2008-10-22 |
| Authorized Official Name | RICHARD LABAERE DO (MEDICAL EDUCATION DIRECTOR) |
| Authorized Official Telephone | 8107154300 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0214X |
Pediatrics Specialization: Pediatric Pulmonology |
========= | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | HEALTH PLUS GROUP # | 6G00009 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184872400 | Genesys Regional Medical Center | Clinic/Center | 2989 Van Zandt Rd, Waterford, MI 48329-3360 | 2008-08-28 |
| 1124274329 | Genesys Regional Medical Center | Clinic/Center | 235 Tree Top Cir Apt 206, Auburn Hills, MI 48326-1185 | 2008-08-07 |
| 1306963053 | Genesys Regional Medical Center | Pediatrics | 4642 Genesys Pkwy, Grand Blanc, MI 48439-8067 | 2007-03-26 |
| 1225580301 | Genesys Regional Medical Center | Clinic/Center | 1 Genesys Pkwy, Grand Blanc, MI 48439-8065 | 2016-10-25 |
| 1861807349 | Genesys Regional Medical Center | Internal Medicine | 2620 Genesys Pkwy, Grand Blanc, MI 48439-7326 | 2014-06-24 |
| 1669808689 | Genesys Regional Medical Center | Clinic/Center | 1 Genesys Pkwy, Grand Blanc, MI 48439-8065 | 2013-09-23 |
| 1104165430 | Genesys Regional Medical Center | Clinic/Center | 1 Genesys Pkwy, Grand Blanc, MI 48439-8065 | 2013-02-06 |
| 1164714184 | Genesys Regional Medical Center | Internal Medicine | 3399 Pollock Rd, Grand Blanc, MI 48439-8395 | 2011-05-10 |
| 1528215837 | Genesys Regional Medical Center | Pediatrics | 4642 Genesys Pkwy, Grand Blanc, MI 48439-8067 | 2008-08-19 |
| 1194907204 | Genesys Regional Medical Center | Pediatrics | 4642 Genesys Pkwy, Grand Blanc, MI 48439-8067 | 2007-11-30 |
| Street Address |
4642 GENESYS PARKWAY |
| City | GRAND BLANC |
| State | MI |
| Zip Code | 48439-8067 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750534871 | Regents of The University of Michigan-pediatric Surgery Offsite | Pediatrics | 4642 Genesys Parkway, Grand Blanc, MI 48439-8067 | 2008-11-03 |
| 1194978213 | Regents of The University of Michigan-pediatric Surgery Offsite | Pediatrics | 4642 Genesys Parkway, Grand Blanc, MI 48439-8067 | 2008-11-03 |
| 1003069139 | Regents of The University of Michigan-pediatric Surgery Offsite | Psychiatry & Neurology | 4642 Genesys Parkway, Grand Blanc, MI 48439-8067 | 2008-11-03 |
| 1821241951 | Regents of The University of Michigan-pediatric Surgery Offsite | Pediatrics | 4642 Genesys Parkway, Grand Blanc, MI 48439-8067 | 2008-11-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811598931 | Fady Essi | Pharmacist | 6160 S Saginaw Road, Grand Blanc, 48439, USA 48439 | 2020-11-04 |
| 1407456254 | Bradley Dwane Murphy | Pharmacist | 6170 S Saginaw, Grand Blanc, MI 48439 | 2020-10-30 |
| 1457975476 | Lauren Nicole Holmes | Obstetrics & Gynecology | Gme Department, 1 Genesys Pkwy, Grand Blanc, MI 48439 | 2020-06-05 |
| 1366063927 | Hadeel Ghazi Barrawi | Family Medicine | Ascension Genesys Hospital, Office of Medical Education, One Genesys Parkway, Grand Blanc, MI 48439 | 2020-05-05 |
| 1245851427 | Adriana Sharp | Surgery | 1 Genesys, Grand Blanc, MI 48439 | 2020-04-29 |
| 1114485109 | Kristen Milefchik | Case Manager/Care Coordinator | 278 Fox Chase Blvd, Grand Blanc, MI 48439 | 2019-03-08 |
| 1588134175 | Audrie Brook Mullin | Registered Nurse | 2313 E. Hill Rd, Grand Blanc, MI 48439 | 2018-11-27 |
| 1457845703 | Michael Patrick Tuczynski | Family Medicine | One Genesys Parkway Ascension Genesys Hospital, Attn: Debra Shuck, Grand Blanc, MI 48439 | 2018-06-20 |
| 1104318112 | Wellbridge At Genesys Health Park, LLC | Skilled Nursing Facility | 3139 East Baldwin Road, Grand Blanc, MI 48439 | 2018-06-05 |
| 1336648393 | Raedeane Kenway | Dental Hygienist | 8542 Holly Rd, Grand Blanc, MI 48439 | 2018-02-06 |
| Find all providers in zip 48439 | ||||
| Taxonomy Code | 2080P0214X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Pulmonology |
| A pediatrician dedicated to the prevention and treatment of all respiratory diseases affecting infants, children and young adults. This specialist is knowledgeable about the growth and development of the lung, assessment of respiratory function in infants and children, and experienced in a variety of invasive and noninvasive diagnostic techniques. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194907204 | Genesys Regional Medical Center | Pediatrics | 4642 Genesys Pkwy, Grand Blanc, MI 48439-8067 | 2007-11-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942279815 | Douglas Homnick | Pediatrics | 3299 Gull Rd, Kalamazoo, MI 49048-1281 | 2006-03-14 |
| 1285266155 | Msu Health Care Inc | Pediatrics | 4660 S Hagadorn Rd Ste 405, East Lansing, MI 48823-6819 | 2020-02-10 |
| 1255863692 | Nada Youssef | Pediatrics | 1500 E Medical Center Dr., Ann Arbor, MI 48109-5212 | 2017-04-03 |
| 1114473832 | Khaleel Qussous | Pediatrics | 1500 E. Medical Center Drive, L2200 Uh South, Ann Arbor, MI 48109-5212 | 2016-09-01 |
| 1285980193 | Johanna Astrid Zea-hernandez | Pediatrics | 35 Michigan St Ne, Suite 3003, Grand Rapids, MI 49503-2514 | 2012-07-29 |
| 1093014284 | Hovig K Artinian | Pediatrics | 35 Michigan St Ne Ste 3003, Grand Rapids, MI 49503 | 2011-03-28 |
| 1356474530 | Mariam M Ischander | Pediatrics | 1000 Oakland Dr, Kalamazoo, MI 49008-1282 | 2007-03-14 |
| 1326059031 | Richard Edward Honicky | Pediatrics | 1540 Lake Lansing Rd, Suite 107, Lansing, MI 48912-3756 | 2006-08-10 |
| 1629001169 | Regents of The University of Michigan | Pediatrics | 1500 East Medical Center Drive, Mott Hospiatl, Ann Arbor, MI 48109-0243 | 2006-07-08 |
| 1184693418 | John H Marks | Pediatrics | 1000 Oakland Dr, Kalamazoo, MI 49008-1282 | 2006-03-17 |
| Find all providers with the same taxonomy | ||||
| City | GRAND BLANC |
| Zip Code | 48439 |
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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.