ASCENSION MEDICAL GROUP GENESYS (NPI# 1598248718) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598248718 |
| Entity Type | Organization |
| Organization Name | ASCENSION MEDICAL GROUP GENESYS |
| Practice Address |
3495 S Center Rd Burton MI 48519-1455 |
| Practice Telephone | 8104242136 |
| Practice Fax Number | 8102494149 |
| Mailing Telephone | 8104242136 |
| Mailing Fax Number | 8102494149 |
| Enumeration Date | 2018-09-13 |
| Last Update Date | 2020-08-18 |
| Authorized Official Name | RANDOLPH KUMMLER (CEO) |
| Authorized Official Telephone | 8104242025 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| N | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114495793 | Ascension Medical Group Genesys | Occupational Therapist | 1096 S Belsay Rd Ste G, Burton, MI 48509-1948 | 2018-11-13 |
| 1205304888 | Ascension Medical Group Genesys | Radiology | 1096 S Belsay Rd Ste J, Burton, MI 48509-1948 | 2018-11-13 |
| 1982170312 | Ascension Medical Group Genesys | Internal Medicine | 1096 S Belsay Rd Ste C, Burton, MI 48509-1948 | 2018-10-24 |
| 1215410436 | Ascension Medical Group Genesys | Internal Medicine | 3495 S Center Rd, Burton, MI 48519-1455 | 2018-09-13 |
| 1003398470 | Ascension Medical Group Genesys | Internal Medicine | 4485 E Mount Morris Rd, Mount Morris, MI 48458-8963 | 2018-09-03 |
| Street Address |
3495 S CENTER RD |
| City | BURTON |
| State | MI |
| Zip Code | 48519-1455 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912956723 | Genesys Integrated Group Practice PC | Internal Medicine | 3495 S Center Rd, Burton, MI 48519-1455 | 2006-05-09 |
| 1215410436 | Ascension Medical Group Genesys | Internal Medicine | 3495 S Center Rd, Burton, MI 48519-1455 | 2018-09-13 |
| 1154879682 | Clara Nassif | Pharmacist | 3495 S Center Rd, Burton, MI 48519-1455 | 2016-09-13 |
| 1275820110 | Genesys Pho LLC | Case Management | 3495 S Center Rd, Burton, MI 48519-1455 | 2011-06-29 |
| 1801939475 | Genesys Integrated Group Practice PC | Physician Assistant | 3495 S Center Rd, Burton, MI 48519-1455 | 2007-02-14 |
| 1598868622 | Robert R Bates | Psychologist | 3495 S Center Rd, Burton, MI 48519-1455 | 2006-09-06 |
| 1467564500 | Munroop Randhawa | Family Medicine | 3495 S Center Rd, Burton, MI 48519-1455 | 2006-08-31 |
| 1073556197 | Genesys Integrated Group Practice PC | Internal Medicine | 3495 S Center Rd, Burton, MI 48519-1455 | 2006-06-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710588876 | Coty Cole | Nurse Practitioner | 2065 South Center Rd, Ste A, Burton, MI 48519 | 2020-11-05 |
| 1821621830 | Leora Sharon Hughes | Massage Therapist | 2065 S. Center Road, Burton, MI 48519 | 2020-02-18 |
| 1598249492 | Kayvon Anthony Parvizi | Pharmacist | G-2333 Center Rd, Burton, MI 48519 | 2018-09-18 |
| 1417441551 | Hurley Medical Center | Clinic/Center | 2065 S. Center Rd., Burton, MI 48519 | 2018-06-21 |
| 1851522684 | Joyce Ann Brantley | Chore Provider | 6097 Surrey Lane, Burton, MI 48519 | 2009-07-28 |
| 1992917157 | Steven J Neirink, Dpm, PC | Podiatrist | 3014 South Genesee Road, Burton, MI 48519 | 2007-05-03 |
| 1407986813 | Ellen Johnson | Psychiatry & Neurology | 4165 E Lippincott Blvd, Burton, MI 48519 | 2007-03-06 |
| 1477692036 | Meijer Inc | Durable Medical Equipment & Medical Supplies | G-2333 South Center Rd, Burton, MI 48519 | 2007-02-06 |
| 1639225923 | Trina Floyd | Dentist | 4085 S. Center Rd., Suite #2, Burton, MI 48519 | 2007-01-27 |
| 1538222823 | Genesee Family Care PC | Family Medicine | 3020 South Genesee Rd, Burton, MI 48519 | 2006-12-18 |
| Find all providers in zip 48519 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487297032 | Courtney Jean Munn-huesca | Family Medicine | 14525 North Chesire, Burton, OH 44021-4402 | 2019-10-25 |
| 1922419464 | David Peter Luebbert | Family Medicine | 1460 N. Center Rd., Burton, MI 48509 | 2014-05-19 |
| 1821260266 | Daniel Milan Zelko | Family Medicine | 2313 N Belsay Rd, Burton, MI 48509-1327 | 2008-03-26 |
| 1437214509 | Clay-battelle Health Services Association | Family Medicine | 60 May Ln, Ste 102, Burton, WV 26562-9669 | 2006-12-27 |
| 1538222823 | Genesee Family Care PC | Family Medicine | 3020 South Genesee Rd, Burton, MI 48519 | 2006-12-18 |
| 1619906773 | Rommel Aquino | Family Medicine | 6175 Lapeer Rd, Burton, MI 48509-2417 | 2006-07-01 |
| 1164458592 | Ariel Ponce | Family Medicine | 4075 S Center Rd, Burton, MI 48519-1453 | 2006-06-25 |
| 1891770947 | Gerald L Larson | Family Medicine | 1459 S Center Rd, Burton, MI 48509-1726 | 2005-12-13 |
| 1154305241 | Jose Baterina Lopez | Family Medicine | 3020 S Genesee Rd, Burton, MI 48519-1420 | 2005-12-01 |
| 1376534396 | Gary T Roome | Family Medicine | G-3375 S. Saginaw St., Burton, MI 48529 | 2005-10-31 |
| Find all providers in BURTON | ||||
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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.