Genesee OB-GYN & Cosmetic Surgery PLLC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

30001645 Issued in MI

Legal business name

GENESEE OB-GYN & COSMETIC SURGERY PLLC

Practice address

1104 S Linden Rd
Flint, MI 48532-3452

Phone

(810) 733-6210

Fax

(810) 733-7055

NPI assigned

May 20, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Celestine M. Joseph, M.D.

Title

Owner

Phone

(810) 394-1906

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1400544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400544000000",
    "number": "1003227430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1104 S LINDEN RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485323452",
            "telephone_number": "810-733-6210",
            "fax_number": "810-733-7055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1104 S LINDEN RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485323452",
            "telephone_number": "810-733-6210",
            "fax_number": "810-733-7055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESEE OB-GYN & COSMETIC SURGERY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-20",
        "last_updated": "2014-05-20",
        "status": "A",
        "authorized_official_last_name": "JOSEPH",
        "authorized_official_first_name": "CELESTINE",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "810-394-1906",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "MI",
            "license": "30001645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Obstetrics & Gynecology Physician in Flint, MI
• Providers in Flint, MI by specialty
• Obstetrics & Gynecology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.