Genesis Medical Group LLC
General Practice in Zanesville, OH. Organization (NPI-2).
NPI number1063663433
StatusActive
Last updated in NPPESMar 1, 2021
Details
- NPI
- 1063663433
- Entity type
- Organization (NPI-2)
- Legal business name
- Genesis Medical Group LLC
- Organization subpart
- No
- Enumeration date
- Oct 3, 2008
- Certification date
- Mar 1, 2021
- Last updated
- Mar 1, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208D00000X | General Practice | – | – | Yes |
| 207KA0200X | Allergy & Immunology, Allergy | – | – | |
| 207LP2900X | Anesthesiology, Pain Medicine | – | – | |
| 207Q00000X | Family Medicine | – | – | |
| 207R00000X | Internal Medicine | – | – | |
| 207RC0000X | Internal Medicine, Cardiovascular Disease | – | – | |
| 207RI0011X | Internal Medicine, Interventional Cardiology | – | – | |
| 207RI0200X | Internal Medicine, Infectious Disease | – | – | |
| 207T00000X | Neurological Surgery | – | – | |
| 207Y00000X | Otolaryngology | – | – | |
| 208000000X | Pediatrics | – | – | |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | – | – | |
| 208VP0000X | – | – |
Practice location
945 Bethesda Dr Ste 200Zanesville, OH 43701-1880
Phone 740-450-6147
Mailing address
945 Bethesda DrSuite 200
Zanesville, OH 43701-0801
Phone 740-450-6147
Authorized official
Mike D Norman
Cfo
7404544773
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