ROD E GENCK (NPI# 1972618890) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972618890 |
| Entity Type | Individual |
| Full Name | ROD E GENCK |
| Credential | PA |
| Practice Address |
680 E Deuce of Clubs Show Low AZ 85901-4829 |
| Mailing Address |
15223 N 87th St #110 Scottsdale AZ 85260-2639 |
| Practice Telephone | 4806824118 |
| Practice Fax Number | 4806824101 |
| Mailing Telephone | 4806824100 |
| Mailing Fax Number | 4806824101 |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2016-03-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 1963 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 442294 | 05 |
| Street Address |
680 E DEUCE OF CLUBS |
| City | SHOW LOW |
| State | AZ |
| Zip Code | 85901-4829 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629091020 | Mountain View Family Practice | Family Medicine | 680 E Deuce of Clubs, Suite A, Show Low, AZ 85901-4827 | 2006-07-26 |
| 1922527266 | Clint Adam Draney | Physician Assistant | 680 E Deuce of Clubs, Show Low, AZ 85901-4829 | 2017-09-19 |
| 1093812083 | Statclinix Plc | Clinic/Center | 680 E Deuce of Clubs, Suite B, Show Low, AZ 85901-4827 | 2006-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811468804 | Summit Healthcare Association | Pharmacy | 4951 South White Mountain Road, Bldg A., Suite 1500, Show Low, AZ 85901 | 2018-12-17 |
| 1821446386 | Ivy L Loney | Social Worker | 580 E. Old Linden Rd #6, Show Low, AZ 85901 | 2016-05-25 |
| 1750749214 | Summit Healthcare | General Acute Care Hospital | 181 East Sylvester, Show Low, AZ 85901 | 2016-01-29 |
| 1194153916 | Alpha & Omega Physical Therapy Acc | Physical Therapist | 861 E Cooley St # B, Show Low, AZ 85901 | 2013-10-15 |
| 1033454707 | North Country Healthcare, Inc. | Family Medicine | 2600 E. Show Low Lake Rd., Show Low, AZ 85901 | 2012-12-06 |
| 1073740098 | North Country Healthcare, Inc. | Clinic/Center | 2650 E. Show Low Lake Rd, Suite 1, Show Low, AZ 85901 | 2009-06-17 |
| 1215174768 | Coast To Coast Air Ambulance, LLC | Ambulance | 3151 Airport Loop Ste 2, Show Low, AZ 85901 | 2009-01-20 |
| 1487899712 | Akdhc, LLC | Internal Medicine | 2051 Evergreen Lane, Ste D, Your Family Practice Team, Show Low, AZ 85901 | 2008-12-16 |
| 1851553192 | Health Angels Companion Care, Inc. | Technician | 1001 E. Huning, Show Low, AZ 85901 | 2008-06-27 |
| 1528231586 | Peggy Johnson | Occupational Therapist | Cusd# 24 Hwy 191, Chinle, AZ 85901 | 2008-04-10 |
| Find all providers in zip 85901 | ||||
| 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 |
|---|---|---|---|---|
| 1235581539 | Randal Lloyd Cooper | Family Medicine | 2650 E Show Low Lake Rd Ste 1, Show Low, AZ 85901-7955 | 2016-07-11 |
| 1033454707 | North Country Healthcare, Inc. | Family Medicine | 2600 E. Show Low Lake Rd., Show Low, AZ 85901 | 2012-12-06 |
| 1972898013 | Robert J Casey Do PC | Family Medicine | 5171 Cub Lake Rd Ste 270, Show Low, AZ 85901-7888 | 2011-06-16 |
| 1821329129 | Elizabeth Wild Bierer | Family Medicine | 4951 S White Mountain Rd Bldg A, Show Low, AZ 85901-7801 | 2010-01-26 |
| 1629091020 | Mountain View Family Practice | Family Medicine | 680 E Deuce of Clubs, Suite A, Show Low, AZ 85901-4827 | 2006-07-26 |
| 1013966795 | Elizabeth C Turgeon | Family Medicine | 5171 Cub Lake Rd # 270, Show Low, AZ 85901-7888 | 2006-05-09 |
| 1447224548 | Craig Gilbert Brady | Family Medicine | 151 N. White Mountain Rd. Suite E, Show Low, AZ 85901 | 2006-02-15 |
| 1912971375 | Show Low Medical Clinic PC | Family Medicine | 320 E Deuce of Clubs, Show Low, AZ 85901-4808 | 2006-02-14 |
| 1053385435 | Scott Hastings Do Inc | Family Medicine | 151 N White Mountain Rd Ste E, Show Low, AZ 85901-5298 | 2006-02-14 |
| 1023088341 | Lois R Speelman | Family Medicine | 2051 Evergreen Ln, Suite D, Show Low, AZ 85901-7928 | 2006-01-26 |
| Find all providers in SHOW LOW | ||||
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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.