GENESIS HEALTH SYSTEM (NPI# 1922050814) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922050814 |
| Entity Type | Organization |
| Organization Name | GENESIS HEALTH SYSTEM |
| Other Organization Name | GENESIS MEDICAL CENTER - INFECTIOUS DISEASE |
| Practice Address |
1227 E Rusholme St Davenport IA 52803-2459 |
| Practice Telephone | 5634214244 |
| Practice Fax Number | 5634214285 |
| Mailing Telephone | 5634214244 |
| Mailing Fax Number | 5634214285 |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. MARK J. KLEINSCHMIDT (VICE PRESIDENT OF FINANCE) |
| Authorized Official Telephone | 5634216513 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RI0200X |
Internal Medicine Specialization: Infectious Disease |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Genesis Medical Center - Infectious Disease | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255692836 | Genesis Health System | Clinic/Center | 1025 30th St, Rock Island, IL 61201-2804 | 2012-05-31 |
| 1902107261 | Genesis Health System | Clinic/Center | 2451 Coral Ct, Suite 1, Coralville, IA 52241-2837 | 2010-11-03 |
| 1902060544 | Genesis Health System | Surgery | 855 Illini Dr Ste 401, Silvis, IL 61282-2904 | 2008-07-14 |
| 1225132640 | Genesis Health System | Family Medicine | 1410 7th St, Moline, IL 61265-2916 | 2006-09-08 |
| 1528177672 | Genesis Health System | Family Medicine | 3827 W Locust St, Davenport, IA 52804-3011 | 2006-08-30 |
| 1770699043 | Genesis Health System | Family Medicine | 205 11th St, Port Byron, IL 61275-9037 | 2006-08-21 |
| 1386750537 | Genesis Health System | Family Medicine | 532 N Cody Rd, Leclaire, IA 52753-9645 | 2006-08-21 |
| 1447204375 | Genesis Health System | Long Term Care Hospital | 1455 Hospital Rd, Silvis, IL 61282-1834 | 2006-05-22 |
| 1679525562 | Genesis Health System | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1236 E Rusholme St Ste 150, Davenport, IA 52803-2433 | 2006-05-17 |
| 1538110218 | Genesis Health System | Clinic/Center | 2350 41st St, Moline, IL 61265-5014 | 2006-05-15 |
| Street Address |
1227 E RUSHOLME ST |
| City | DAVENPORT |
| State | IA |
| Zip Code | 52803-2459 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083690762 | Ilya B Volfson | Anesthesiology | 1227 E Rusholme St, Davenport, IA 52803-2459 | 2005-12-15 |
| 1912523432 | Abby Mariah Shumate | Nurse Practitioner | 1227 E Rusholme St, Davenport, IA 52803-2459 | 2020-06-20 |
| 1477173532 | Julie Anne Daniels | Occupational Therapist | 1227 E Rusholme St, Davenport, IA 52803-2459 | 2020-04-19 |
| 1083253306 | Charles Grant Dennehey | Physician Assistant | 1227 E Rusholme St, Davenport, IA 52803-2459 | 2020-01-03 |
| 1942850011 | Alyssa Sue Busch | Nurse Practitioner | 1227 E Rusholme St, Davenport, IA 52803-2459 | 2019-09-19 |
| 1528616901 | Genesis Health System | Psychologist | 1227 E Rusholme St, Davenport, IA 52803-2459 | 2019-08-29 |
| 1992260202 | Matthew Adam Steinbeck | Pharmacist | 1227 E Rusholme St, Davenport, IA 52803-2459 | 2019-01-31 |
| 1609394964 | Chelsea Speer | Physician Assistant | 1227 E Rusholme St, Davenport, IA 52803-2459 | 2017-09-06 |
| 1508387382 | Anesthesia Intensive Care LLC | Anesthesiology | 1227 E Rusholme St, Davenport, IA 52803-2459 | 2017-06-30 |
| 1417478314 | Michelle Engstrom | Physical Therapist | 1227 E Rusholme St, Davenport, IA 52803-2459 | 2017-06-29 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679189971 | Amber Rae Rupiper | Physician Assistant | 518 Locus Street, Davenport, IA 52803 | 2020-09-22 |
| 1558869321 | Devan Louis Depauw | Physician Assistant | 1227 East Rusholme St., Davenport, IA 52803 | 2018-01-26 |
| 1215383070 | Brittney N Hughes | Nurse Practitioner | 1228 E Rusholme Street, Suite 3020, Davenport, IA 52803 | 2016-05-11 |
| 1992138747 | Sarah Beth Schlickman | Nurse Practitioner | 1228 E Rusholme St Ste 3020, Davenport, IA 52803 | 2013-08-15 |
| 1154763845 | Leslie A Poston | Nurse Practitioner | 1228 E. Rushome Street, Mob I, Suite 2100, Davenport, IA 52803 | 2013-07-23 |
| 1083878896 | Jolene Marie Dague | Dentist | 1905 N. Main St, Davenport, IA 52803 | 2008-07-11 |
| 1952436370 | Joann C Milani | Psychologist | 1503 Brady Street, Davenport, IL 52803 | 2007-02-23 |
| 1942343579 | Lisa Clare Ploehn | Pharmacist | 129 West Locust Street, Davenport, IA 52803 | 2007-02-14 |
| 1366597957 | Cathleen Ann Clark | Social Worker | 1706 N Brady, Suite 204, Davenport, IA 52803 | 2007-01-24 |
| 1184781940 | William Burke Ltd | Durable Medical Equipment & Medical Supplies | 129 West Locust, Davenport, IA 52803 | 2007-01-02 |
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| Taxonomy Code | 207RI0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Infectious Disease |
| An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine. |
| 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 |
|---|---|---|---|---|
| 1285720490 | Mirza Omer M Baig | Internal Medicine | 3801 Marquette St, Davenport, IA 52806-5538 | 2006-10-05 |
| 1902885445 | Bharat A Motwani | Internal Medicine | 1228 E Rusholme St Ste 3060, Davenport, IA 52803-2453 | 2006-01-12 |
| 1396180311 | Infectious Diseases Associates | Internal Medicine | 1111 W Kimberly Rd, Davenport, IA 52806-5711 | 2013-05-03 |
| 1821375726 | Jungwon Yoon | Internal Medicine | 4425 Welcome Way, Suite 1, Davenport, IA 52806-4060 | 2011-11-07 |
| 1083608772 | Louis M Katz | Internal Medicine | 1351 W Central Park Ave, Davenport, IA 52804-1853 | 2005-09-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770695488 | Terrance O Kurtz | Internal Medicine | 2100 Dixon, Suite E Concentra Clinic, Des Moines, IA 50316 | 2006-08-31 |
| 1710968243 | Richard Joseph Burger | Internal Medicine | 19942 Saint Joseph Drive, Centerville, IA 52544-8849 | 2005-11-10 |
| 1679570360 | Guy R Delarosa | Internal Medicine | 1221 Pleasant St, Suite 300, Des Moines, IA 50309-1423 | 2005-07-07 |
| 1962409201 | John Ward Olds | Internal Medicine | 400 E Court Ave, Station 56, Des Moines, IA 50309-2017 | 2005-07-01 |
| 1891223665 | Hiroyuki Suzuki | Internal Medicine | 200 Hawkins Dr Dept of Internal Medicine, Iowa City, IA 52242-1009 | 2017-05-24 |
| 1386178820 | Joseph Tholany | Internal Medicine | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2017-04-11 |
| 1528411774 | Fernando Ernesto Casado Castillo | Internal Medicine | 200 Hawkins Dr, Infectious Diseases, Iowa City, IA 52242-1009 | 2016-07-22 |
| 1164787412 | Rima I El-herte | Internal Medicine | 411 Laurel St Ste A120, Des Moines, IA 50314-3027 | 2012-07-11 |
| 1386902781 | Global Infectious Disease Services, PC | Internal Medicine | 2918 Hamilton Blvd, Upper D Suite 103, Sioux City, IA 51104-2414 | 2012-04-24 |
| 1326310681 | Daniel E Mcgrail, Md, Plc | Internal Medicine | 1030 5th Ave Se, Suite 1700, Cedar Rapids, IA 52403-2464 | 2012-02-02 |
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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.