Active NPI
Genesys Integrated Group Practice PC
- Family Medicine Physician
- Burton, MI
National Provider Identifier
1073556197
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- GENESYS INTEGRATED GROUP PRACTICE PC
- Practice address
- 3495 S Center Rd
Burton, MI 48519-1455 - Phone
- (810) 424-2007
- Fax
- (810) 232-2266
- NPI assigned
- Jun 14, 2006
- Last updated
- Oct 19, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Paul Garson
- Title
- Chief Financial Officer
- Phone
- (810) 424-2136
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | NU | Primary | |
| Internal Medicine Physician | 207R00000X | NU | ||
| Pediatrics Physician | 208000000X | NU |
Addresses
Primary practice location
3495 S Center Rd
Burton, MI 48519-1455
Mailing address
3495 S Center Rd
Burton, MI 48519-1455
Phone (810) 424-2007
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150243200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1539907200000",
"number": "1073556197",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3495 S CENTER RD",
"city": "BURTON",
"state": "MI",
"postal_code": "485191455",
"telephone_number": "810-424-2007",
"fax_number": "810-743-1099"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3495 S CENTER RD",
"city": "BURTON",
"state": "MI",
"postal_code": "485191455",
"telephone_number": "810-424-2007",
"fax_number": "810-232-2266"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GENESYS INTEGRATED GROUP PRACTICE PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-14",
"last_updated": "2018-10-19",
"status": "A",
"authorized_official_last_name": "GARSON",
"authorized_official_first_name": "PAUL",
"authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
"authorized_official_telephone_number": "810-424-2136"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Burton, MI
- Genesis Universal Healthcare Services Inc.
- Genesys Ambulatory Health Services (Genesys Occupational Health Network)
- Genesys Ambulatory Health Services (Genesys Urgent Care Center)
- Genesys Ambulatory Health Services
- Genesys Ambulatory Health Services, Inc. (Genesys Urgent Care Center, Inc.)
- Genesys Integrated Group Practice PC (Physicians Integrated Physical Therapy)
- Genesys Integrated Group Practice PC
- Genesys Integrated Group Practice PC
- Genesys Integrated Group Practice PC
- Genesys Pho LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.