Rod E Genck, PA
Family Medicine in Show Low, AZ. Individual provider (NPI-1).
NPI number1972618890
StatusActive
Last updated in NPPESMar 31, 2016
Details
- NPI
- 1972618890
- Entity type
- Individual (NPI-1)
- Name
- Rod E Genck
- Credential
- PA
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 20, 2006
- Last updated
- Mar 31, 2016
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PHYSICIAN ASSISTANT
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 1963 | AZ | Yes |
Practice location
680 E Deuce Of ClubsShow Low, AZ 85901-4829
Phone 480-682-4118 · Fax 480-682-4101
Mailing address
15223 N 87th St#110
Scottsdale, AZ 85260-2639
Phone 480-682-4100 · Fax 480-682-4101
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 27 Family Medicine Physician providers in Show Low · All 582 providers in Show Low
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