GMG CLINICALLY INTEGRATED NETWORK DBA GENESIS IPA (NPI# 1689298960) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689298960 |
| Entity Type | Organization |
| Organization Name | GMG CLINICALLY INTEGRATED NETWORK DBA GENESIS IPA |
| Practice Address |
2255 E Mossy Oaks Rd Ste 500 Spring TX 77389-1813 |
| Practice Telephone | 2814405300 |
| Mailing Telephone | 2814405300 |
| Enumeration Date | 2020-06-03 |
| Last Update Date | 2020-06-03 |
| Authorized Official Name | DR. DAVID ELLENT (OWNER) |
| Authorized Official Telephone | 2819614100 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
2255 E MOSSY OAKS RD STE 500 |
| City | SPRING |
| State | TX |
| Zip Code | 77389-1813 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417952094 | Northwest Diagnostic Clinic, Pa | Internal Medicine | 2255 E Mossy Oaks Rd Ste 500, Spring, TX 77389-1813 | 2005-06-20 |
| 1013525880 | Advanced Gastroenterology and Nutrition of Texas Pllc | Internal Medicine | 2255 E Mossy Oaks Rd Ste 500, Spring, TX 77389-1813 | 2020-07-17 |
| 1487217006 | Creekside Premier Medical Group Pllc | Allergy & Immunology | 2255 E Mossy Oaks Rd Ste 500, Spring, TX 77389-1813 | 2019-04-18 |
| 1740791599 | Theranique Denise Thompson | Registered Nurse | 2255 E Mossy Oaks Rd Ste 500, Spring, TX 77389-1813 | 2017-10-19 |
| 1760737068 | Samaneh Dowlatshahi | Internal Medicine | 2255 E Mossy Oaks Rd Ste 500, Spring, TX 77389-1813 | 2012-07-23 |
| 1689968133 | Laura Elizabeth Durling | Internal Medicine | 2255 E Mossy Oaks Rd Ste 500, Spring, TX 77389-1813 | 2011-06-01 |
| 1386875698 | Jilu J. Varghese | Family Medicine | 2255 E Mossy Oaks Rd Ste 500, Spring, TX 77389-1813 | 2009-08-04 |
| 1700047412 | Samer M Elfallal | Neurological Surgery | 2255 E Mossy Oaks Rd Ste 500, Spring, TX 77389-1813 | 2008-06-24 |
| 1427250349 | Amie Mao Sun-wright | Internal Medicine | 2255 E Mossy Oaks Rd Ste 500, Spring, TX 77389-1813 | 2007-06-04 |
| 1023219862 | Afua S Agyarko | Internal Medicine | 2255 E Mossy Oaks Rd Ste 500, Spring, TX 77389-1813 | 2007-05-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710518550 | Leigh Alanna Todd | Social Worker | 25700 I-45, #415, Spring, TX 77389 | 2020-01-30 |
| 1700378353 | Misturat Adesanya | Family Medicine | 8727 W Rayford Dr, 160, Spring, TX 77389 | 2018-05-30 |
| 1720583800 | Diamond Minniefield | Chiropractor | 26400 Kuykendahl, Suite A #115, The Woodlands, TX 77389 | 2018-03-29 |
| 1154861722 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 6635 N Grand Parkway, Sprint, TX 77389 | 2017-03-02 |
| 1861845703 | Ray Anthony Carlton II | Case Manager/Care Coordinator | 8422 Barmby Ct, Spring, TX 77389 | 2016-07-15 |
| 1750741427 | Melanie Deann Hutton | Occupational Therapist | 24902 Pikecrest Dr., Spring, TX 77389 | 2016-02-24 |
| 1366848251 | Timberwilde Eye Care, Pllc | Optometrist | 24504 Kuykendahl Dr, Suite 500, Spring, TX 77389 | 2014-11-05 |
| 1417359787 | Rcmh, LLC | Clinic/Center | 26500 Kuykendahl Rd., Spring, TX 77389 | 2014-09-18 |
| 1922425982 | Melissa Alice Balk-elliott | Dentist | 6710 Spring Stuebner Rd. Ste 700, Spring, TX 77389 | 2014-03-27 |
| 1881025054 | Erilyn White | Nurse Practitioner | 23155 Ih-45, Spring, TX 77389 | 2013-12-12 |
| Find all providers in zip 77389 | ||||
| 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 |
|---|---|---|---|---|
| 1194373555 | Champagne Psychiatry Pllc | Family Medicine | 10857 Kuykendahl Rd Ste 210, Spring, TX 77382-2936 | 2019-08-29 |
| 1427603901 | Sanitas Medical Center of Texas Pa | Family Medicine | 18532 Kuykendahl Rd, Spring, TX 77379-8160 | 2019-08-01 |
| 1841768157 | Bas Nair Md Pa | Family Medicine | 8806 Bryce Canyon Ct, Spring, TX 77379-6382 | 2018-11-05 |
| 1700378353 | Misturat Adesanya | Family Medicine | 8727 W Rayford Dr, 160, Spring, TX 77389 | 2018-05-30 |
| 1891228649 | Maurene Hart | Family Medicine | 18302 Mahogany Forest Dr, Spring, TX 77379-3918 | 2017-04-08 |
| 1235674987 | Xtnb Inc | Family Medicine | 3410 Fm 2920 Rd, Ste 50, Spring, TX 77388-4245 | 2017-01-04 |
| 1912352337 | Zhaleh Jacqueline Amini-vaughan | Family Medicine | 10333 Kuykendahl Rd Ste D, Spring, TX 77382-2878 | 2016-05-04 |
| 1306290598 | Timothy Doyle Carder | Family Medicine | 3550 Rayford Rd Ste 110a, Spring, TX 77386-4343 | 2016-04-14 |
| 1932580743 | Grace Lee | Family Medicine | 7474 N Grand Pkwy W, Spring, TX 77379-1570 | 2015-06-17 |
| 1255745717 | Selena Ng | Family Medicine | 4057 Riley Fuzzel Rd Ste 1100a, Spring, TX 77386-4632 | 2014-06-12 |
| Find all providers in SPRING | ||||
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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.