GENESIS ELDERCARE PHYSICIAN SERVICES LLC (NPI# 1598181349) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598181349 |
| Entity Type | Organization |
| Organization Name | GENESIS ELDERCARE PHYSICIAN SERVICES LLC |
| Practice Address |
420 Dean Dr Gardendale AL 35071 |
| Mailing Address |
Po Box 62946 Baltimore MD 21264-2946 |
| Practice Telephone | 2056318709 |
| Mailing Telephone | 4104947607 |
| Enumeration Date | 2014-03-17 |
| Last Update Date | 2019-08-05 |
| Authorized Official Name | ERIC SHAPIRO (VICE PRESIDENT) |
| Authorized Official Telephone | 4108327790 |
| Is Organization Subpart | Y |
| Parent Organization Name | GENESIS HEALTHCARE, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
Allopathic & Osteopathic Physicians |
| 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 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | GENESIS ELDERCARE PHYSICIAN SERVICES LLC | 101 E State St, Kennett Sq, PA 19348-3109 |
| Street Address |
420 DEAN DR |
| City | GARDENDALE |
| State | AL |
| Zip Code | 35071 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285684068 | Sunbridge Gardendale Health Care Center, LLC | Skilled Nursing Facility | 420 Dean Dr, Gardendale, AL 35071-2763 | 2006-05-11 |
| 1104381664 | Madison Pugh | Occupational Therapy Assistant | 420 Dean Dr, Gardendale, AL 35071-2763 | 2019-02-08 |
| 1801386628 | Kylie Billups | Physical Therapist | 420 Dean Dr, Gardendale, AL 35071-2763 | 2018-05-16 |
| 1770071805 | Taylor Dawn Powell Gibson | Physical Therapy Assistant | 420 Dean Dr, Gardendale, AL 35071-2763 | 2018-04-24 |
| 1881109452 | Gps Physician Group, PC | Internal Medicine | 420 Dean Dr, Gardendale, AL 35071 | 2017-12-05 |
| 1336651694 | Brittany Steele Tuggle | Nurse Practitioner | 420 Dean Dr, Gardendale, AL 35071-2763 | 2017-10-26 |
| 1376053603 | Jenna Michelle Kirk | Physical Therapy Assistant | 420 Dean Dr, Gardendale, AL 35071-2763 | 2017-09-29 |
| 1225556582 | Maegan Horn Talbert | Speech-Language Pathologist | 420 Dean Dr, Gardendale, AL 35071-2763 | 2017-09-06 |
| 1093233504 | Bruce R Cook | Physical Therapy Assistant | 420 Dean Dr, Gardendale, AL 35071-2763 | 2017-09-05 |
| 1053839555 | George Dinkins Gaskin IIi | Speech-Language Pathologist | 420 Dean Dr, Gardendale, AL 35071-2763 | 2017-09-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144705682 | Ragan Overby | Nurse Practitioner | 960 Mount Olive Parkway, Gardendale, AL 35071 | 2018-10-01 |
| 1336632561 | Gardendale Oral Surgery, P.C. | Dentist | 919 Sharit Ave Ste 201, Gardendale, AL 35071 | 2018-06-12 |
| 1639696859 | Hillary Neal Davis | Nurse Practitioner | 313 Fieldstown Rd Ste 103, Gardendale, AL 35071 | 2017-08-28 |
| 1306218367 | Gardendale Health Mart Pharmacy LLC | Pharmacy | 835 Odum Rd Ste 101, Gardendale, AL 35071 | 2015-10-29 |
| 1164891610 | Cherry Kelly | Pharmacist | 890 Odum Road, Gardendale, AL 35071 | 2015-09-15 |
| 1023420809 | Paul Mcdonald | Nurse Practitioner | 2334 Us Highway 31, Gardendale, AL 35071 | 2014-05-28 |
| 1285056671 | Andrea Brown | Physical Therapy Assistant | 420 Dean Lane, Gardendale, AL 35071 | 2014-01-20 |
| 1720328784 | Genesis Rehabilation | Skilled Nursing Facility | 420 Dean Drive, Gardendale, ALABAMA 35071 | 2013-02-27 |
| 1609036003 | Sarah Peters Cribbs | Internal Medicine | 210 Fieldstown Rd, Gardendale, AL 35071 | 2008-06-10 |
| 1548313422 | Brookwood Urgent Care, L.L.C. | Family Medicine | 2117 Decatur Highway, Suite 131, Gardendale, AL 35071 | 2007-01-22 |
| Find all providers in zip 35071 | ||||
| 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 |
|---|---|---|---|---|
| 1881109452 | Gps Physician Group, PC | Internal Medicine | 420 Dean Dr, Gardendale, AL 35071 | 2017-12-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427411347 | Calvin L. Reid Geriatric Services, LLC | Internal Medicine | 636 Westwood Rd, Dothan, AL 36303-2928 | 2016-03-29 |
| 1821406927 | Center for Aging Inc | Internal Medicine | 909 Franklin St Se Ste A, Huntsville, AL 35801-4334 | 2014-08-01 |
| 1649687179 | Tuscaloosa Geriatrics, P.C. | Internal Medicine | 4000 Carousel Cir, Tuscaloosa, AL 35406-2997 | 2014-07-16 |
| 1063576130 | Joel C Bolen | Internal Medicine | 1230 Carmichael Way, Montgomery, AL 36106-3671 | 2006-12-21 |
| 1730290693 | Shalini Goswami | Internal Medicine | 1294 E Main St, Prattville, AL 36066 | 2006-08-31 |
| 1952415994 | J Walden Retan Md PC | Internal Medicine | 3105 Warrington Road, Mountain Brook, AL 35223-2721 | 2006-08-18 |
| 1669494597 | Alabama Geriatric Specialists Inc. | Internal Medicine | 1 Lakeshore Dr., Ste. 200, Birmingham, AL 35209 | 2006-07-23 |
| 1073558813 | Carol A Griffin | Internal Medicine | 933 19th St S, Room 201, Birmingham, AL 35205-3703 | 2006-06-17 |
| 1639129430 | Malavika Kirikumar Shah | Internal Medicine | 4350 Cleveland Avenue, Walnut Grove, AL 35990 | 2006-05-11 |
| 1346733821 | Franklin Primary Health Center, Inc | Internal Medicine | 100 Edwina St, Evergreen, AL 36401-3319 | 2018-06-11 |
| Find all providers with the same taxonomy | ||||
| City | GARDENDALE |
| Zip Code | 35071 |
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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.