GENESYS REGIONAL MEDICAL CENTER (NPI# 1629295092) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629295092 |
| Entity Type | Organization |
| Organization Name | GENESYS REGIONAL MEDICAL CENTER |
| Practice Address |
4642 Genesys Pkwy 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 | 2080P0205X |
Pediatrics Specialization: Pediatric Endocrinology |
========= | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | HEATHPLUS GROUP # | 4G00009 | 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 |
| 1538386909 | Genesys Regional Medical Center | Pediatrics | 4642 Genesys Parkway, Grand Blanc, MI 48439-8067 | 2007-04-19 |
| 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 |
| Street Address |
4642 GENESYS PKWY |
| City | GRAND BLANC |
| State | MI |
| Zip Code | 48439-8067 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306963053 | Genesys Regional Medical Center | Pediatrics | 4642 Genesys Pkwy, Grand Blanc, MI 48439-8067 | 2007-03-26 |
| 1073866216 | Loui Lea Brickey | Registered Nurse | 4642 Genesys Pkwy, Grand Blanc, MI 48439-8067 | 2012-10-25 |
| 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 |
| 1477735587 | Genesys Regional Medical Center | Pediatrics | 4642 Genesys Pkwy, Grand Blanc, MI 48439-8067 | 2007-11-30 |
| 1710104187 | Genesys Regional Medical Center | Pediatrics | 4642 Genesys Pkwy, Grand Blanc, MI 48439-8067 | 2007-04-19 |
| 1992922363 | Genesys Regional Medical Center | Pediatrics | 4642 Genesys Pkwy, Grand Blanc, MI 48439-8067 | 2007-04-19 |
| 1801013271 | Genesys Regional Medical Center | Pediatrics | 4642 Genesys Pkwy, Grand Blanc, MI 48439-8067 | 2007-04-19 |
| 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 | 2080P0205X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Endocrinology |
| A pediatrician who provides expert care to infants, children and adolescents who have diseases that result from an abnormality in the endocrine glands (glands which secrete hormones). These diseases include diabetes mellitus, growth failure, unusual size for age, early or late pubertal development, birth defects, the genital region and disorders of the thyroid, the adrenal and pituitary glands. |
| 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) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396947164 | Jacalyn Bishop, Md, PC | Pediatrics | 44000 W. 12 Mile Rd, Suite 103, Novi, MI 48377-2646 | 2007-06-04 |
| 1750337135 | Colleen Buggs - Saxton | Pediatrics | 3950 Beaubien 3rd Floor, Detroit, MI 48201 | 2006-05-26 |
| 1144214990 | Bernard Degnan | Pediatrics | 3535 W 13 Mile Rd # 707, Royal Oak, MI 48073-6770 | 2005-09-08 |
| 1205368107 | Nellie Said | Pediatrics | 1500 E. Medical Center Drive, Ann Arbor, MI 48109-5718 | 2017-03-30 |
| 1194168948 | Doris Rafic Taha | Pediatrics | 3950 Beaubien - 3rd Fl, Children's Hospital of Mi, Detroit, MI 48201 | 2013-04-11 |
| 1720355910 | Spectrum Health Primary Care Partners | Pediatrics | 1722 Shaffer St, Suite 3, Kalamazoo, MI 49048-1633 | 2011-11-16 |
| 1992006142 | Spectrum Health Primary Care Partners | Pediatrics | 3290 N Wellness Dr, Holland, MI 49424-7259 | 2010-11-04 |
| 1215237813 | Spectrum Health Primary Care Partners | Pediatrics | 3535 Park St, Muskegon, MI 49444-3736 | 2010-10-28 |
| 1760782361 | Spectrum Health Primary Care Partners | Pediatrics | 5024 N Royal Dr, Traverse City, MI 49684-9230 | 2010-10-28 |
| 1730494543 | Mouhammad Rateb Alwazeer | Pediatrics | 22201 Moross Rd, Suite 270, Detroit, MI 48236-2169 | 2010-08-17 |
| 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.