GENESIS ELDERCARE PHYSICIAN SERVICES LLC (NPI# 1588690135) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588690135 |
| Entity Type | Organization |
| Organization Name | GENESIS ELDERCARE PHYSICIAN SERVICES LLC |
| Practice Address |
1785 S Hayes St Arlington VA 22202 |
| Mailing Address |
Po Box 62946 Baltimore MD 21264-2946 |
| Practice Telephone | 7039205700 |
| Practice Fax Number | 4105438492 |
| Mailing Telephone | 4104947607 |
| Mailing Fax Number | 6109257387 |
| Enumeration Date | 2006-06-24 |
| Last Update Date | 2019-08-05 |
| Authorized Official Name | ERIC SHAPIRO (VICE PRESIDENT) |
| Authorized Official Telephone | 4108327790 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
Allopathic & Osteopathic Physicians | ||
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DC | BCBS OF NATIONAL CAPITOL | B018 | 01 |
| DE | 036556400 | 05 | |
| MD | 999320700 | 05 | |
| MH | BCBS OF MARYLAND GP # | KQ54GE | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801215041 | Genesis Eldercare Physician Services LLC | Family Medicine | 835 Tenderfoot Hill Rd # T, Colorado Springs, CO 80906 | 2014-04-15 |
| 1033535828 | Genesis Eldercare Physician Services LLC | Nurse Practitioner | 16605 Chestnut Glen Pl, Louisville, KY 40245 | 2014-03-17 |
| 1609180926 | Genesis Eldercare Physician Services LLC | Family Medicine | 6508 Deer Pointe Dr Ste A, Salisbury, MD 21804 | 2010-07-28 |
| 1326148107 | Genesis Eldercare Physician Services LLC | Skilled Nursing Facility | 14233 Alta Oaks Dr, Rockville, MD 20850-7413 | 2006-09-22 |
| 1699710202 | Genesis Eldercare Physician Services LLC | Internal Medicine | 11 Dairy Ln, Fredericksburg, VA 22405-2663 | 2006-06-18 |
| 1881635183 | Genesis Eldercare Physician Services LLC | Internal Medicine | 6508 Deer Pointe Dr, Suite A, Salisbury, MD 21804 | 2006-06-09 |
| 1104819259 | Genesis Eldercare Physician Services LLC | Internal Medicine | 464 Main St, Heritage Hall East, Agawam, MA 01001 | 2005-08-24 |
| 1164415196 | Genesis Eldercare Physician Services LLC | Internal Medicine | 1 Emerson Dr, Kimberly Hall North, Windsor, CT 06095 | 2005-08-24 |
| 1699280511 | Genesis Eldercare Physician Services LLC | Internal Medicine | 515 Fairmount Ave, Towson, MD 21286 | 2017-12-14 |
| 1548615313 | Genesis Eldercare Physician Services LLC | Internal Medicine | 7900 Constitution Ave Ne, Albuquerque, NM 87110 | 2016-04-29 |
| Street Address |
1785 S HAYES ST |
| City | ARLINGTON |
| State | VA |
| Zip Code | 22202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104861038 | Crystal City Nursing Center, Inc. | Skilled Nursing Facility | 1785 S Hayes St, Arlington, VA 22202-2714 | 2006-06-17 |
| 1972163616 | Daniel Shin | Physical Therapist | 1785 S Hayes St, Arlington, VA 22202-2714 | 2019-06-15 |
| 1174041255 | Renal Treatment Centers Mid Atlantic Inc | Clinic/Center | 1785 S Hayes St, Arlington, VA 22202 | 2017-09-08 |
| 1710380670 | Regency Care of Arlington, LLC | Skilled Nursing Facility | 1785 S Hayes St, Arlington, VA 22202-2714 | 2014-10-06 |
| 1811312796 | Senthil Kumar Arumugam | Nursing Facility/Intermediate Care Facility | 1785 S Hayes St, Arlington, VA 22202-2714 | 2014-02-28 |
| 1467880138 | Megan Morris | Speech-Language Pathologist | 1785 S Hayes St, Arlington, VA 22202-2714 | 2013-10-16 |
| 1790078749 | Jamie Hardy Marin | Occupational Therapist | 1785 S Hayes St, Arlington, VA 22202-2714 | 2011-05-24 |
| 1497054043 | Japera Wilson | Speech-Language Pathologist | 1785 S Hayes St, Arlington, VA 22202-2714 | 2011-03-22 |
| 1669774303 | Ami Shah | Physical Therapist | 1785 S Hayes St, Arlington, VA 22202 | 2010-12-01 |
| 1396053955 | Sarah Katherine Sowd | Occupational Therapist | 1785 S Hayes St, Arlington, VA 22202-2714 | 2010-09-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881291474 | Gail Devonna Johnson | Home Health Aide | 2611 S Clark St Suite 700, Arlington, VA 22202 | 2020-10-06 |
| 1194331835 | Keylah Cherri Adams | Home Health Aide | 2611 South Clark Street Suite 700, Arlington, VA 22202 | 2020-09-18 |
| 1902412927 | Briggitte Marie Bradley | Home Health Aide | 2611 S Clark St. Suite 700, Arlington, VA 22202 | 2020-09-16 |
| 1730793027 | Regina Ray | Home Health Aide | 2611 South Clark Street, St.700, Arlington, VA 22202 | 2020-09-03 |
| 1255944328 | Elizabeth Ann Mayes Gross | Home Health Aide | 2611 S. Clark Street, 700, Arlington, VA 22202 | 2020-08-28 |
| 1942826425 | Maria Eugenia Flores | Home Health Aide | 2611 South Clark Street, Suite 700, Arlington, VA 22202 | 2020-06-22 |
| 1013531250 | Alistair Taylor | Student in an Organized Health Care Education/Training Program | Potomac Behavioral Solutions, 2001 Richmond Highway, Suite 800, Arlington, VA 22202 | 2020-06-03 |
| 1194349399 | Solange Abel Anagho | Home Health Aide | 2611 South Clark Street, Suite 700, Arlington, VA 22202 | 2020-06-03 |
| 1083256028 | Home Is Love Home Healthcare, LLC | Home Health | 575 12th Road S, Apt 231, Arlington, VA 22202 | 2019-10-10 |
| 1619521150 | Sarah Elizabeth Young | Physician Assistant | 1601 23rd St S, Arlington, VA 22202 | 2019-08-01 |
| Find all providers in zip 22202 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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 |
|---|---|---|---|---|
| 1073113783 | Tiger Telemedicine | Internal Medicine | 1107 S Walter Reed Dr Apt 204, Arlington, VA 22204-4371 | 2020-10-30 |
| 1902422587 | Naila T Rahman | Internal Medicine | 5416 3rd St S, Arlington, VA 22204-1114 | 2020-06-19 |
| 1023663846 | Cam Equity LLC | Internal Medicine | 1720 Oak Village Blvd Ste 200a, Arlington, TX 76017-7950 | 2019-08-08 |
| 1831659515 | Denisha Robinson | Internal Medicine | 3600 Matlock Rd Ste 200, Arlington, TX 76015-3679 | 2019-03-20 |
| 1881196343 | Albitar Medical Consulting Pllc | Internal Medicine | 1000 Cooper Street, Arlington, TX 76011 | 2018-03-01 |
| 1972036226 | Bureeni Internal Medicine Pllc | Internal Medicine | 1614 Weeping Willow Ln, Arlington, TX 76002-4642 | 2017-04-04 |
| 1346791654 | One Call Healthcare Pllc | Internal Medicine | 1 Farmer Cir, Arlington, MA 02474-2866 | 2016-10-21 |
| 1316492937 | Amy Sue Bloom | Internal Medicine | 2100 Crystal Dr, 10102a, Arlington, VA 22202-3784 | 2016-08-24 |
| 1659727105 | Sharon Ogidan | Internal Medicine | 1700 Greenbend Dr, Arlington, TX 76018-4828 | 2016-05-13 |
| 1790149300 | Mahmoud Khalaf | Internal Medicine | 7700 Sharon Lee Dr # 1, Arlington, TX 76001-7092 | 2016-04-09 |
| Find all providers in ARLINGTON | ||||
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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.