Active NPI
Mario Geneau
- Other Technician
- Dearborn, MI
National Provider Identifier
1063973097
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Other Technician
- Practice address
- 3231 S Gulley Rd Ste E
Dearborn, MI 48124-4405 - Phone
- (313) 278-2327
- NPI assigned
- Mar 31, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Other Technician | 247200000X | MI | Primary |
Addresses
Primary practice location
3231 S Gulley Rd Ste E
Dearborn, MI 48124-4405
Mailing address
620 Germantown Pike
Lafayette Hill, PA 19444-1810
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Merakey Midwest | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Flint, MI
- NPI 1740670454
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553990400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1553990400000",
"number": "1063973097",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "620 GERMANTOWN PIKE",
"city": "LAFAYETTE HILL",
"state": "PA",
"postal_code": "194441810"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3231 S GULLEY RD STE E",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481244405",
"telephone_number": "313-278-2327"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GENEAU",
"first_name": "MARIO",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-03-31",
"last_updated": "2019-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "247200000X",
"taxonomy_group": "",
"desc": "Technician, Other",
"state": "MI",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dearborn, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.