Genecov Physician Group

Primary specialty

Developmental - Behavioral Pediatrics PhysicianTaxonomy code 2080P0006X

Legal business name

GENECOV PHYSICIAN GROUP

Practice address

7777 Forest LN
Suite B326
Dallas, TX 75230-2505

Phone

(972) 566-8466

Fax

(972) 566-8329

NPI assigned

Jul 20, 2006

Organization subpart

No

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

Authorized official

Name

Lisa W Genecov, MDNPI 1023038502

Title

Owner

Phone

(972) 566-8466

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lisa W Genecov, MD

  • Developmental - Behavioral Pediatrics Physician
  • Dallas, TX
  • NPI 1023038502
  NPD (past) Authorized official
• Staci Bloom, PH.D.

  • Student in an Organized Health Care Education/Training Program
  • Dallas, TX
  • NPI 1306179460
  NPD (past)
• Cortney Diane Spain, SP

  • Speech-Language Pathologist
  • Dallas, TX
  • NPI 1033350053
  NPD (past)

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013937598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7777 FOREST LN",
            "address_2": "SUITE B326",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752302505",
            "telephone_number": "972-566-8466",
            "fax_number": "972-566-8329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7777 FOREST LN",
            "address_2": "SUITE B326",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752302505",
            "telephone_number": "972-566-8466",
            "fax_number": "972-566-8329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENECOV PHYSICIAN GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GENECOV",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-566-8466",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2080P0006X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Developmental - Behavioral Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Elizabeth Gencarella
• Joseph Salvatore Genco Jr., MD
• Gendx LLC
• Gene W Voskuhl, MD, PA
• Asha Gene, MSN APRN AGACNP-BC
• Genecov Plastic Surgery Group
• Genecov Plastic Surgery Group
• Genecov Plastic Surgery Group
• Genecov Plastic Surgery Group, PA
• Lisa W Genecov, MD

• Developmental - Behavioral Pediatrics Physician in Dallas, TX
• Providers in Dallas, TX by specialty
• Developmental - Behavioral Pediatrics Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.