Active NPI
Nelson Eric Gencheff, DO
- Cardiovascular Disease Physician
- Marquette, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 5101009341
- Practice address
- 1414 West Fair Avenue
Suite 334
Marquette, MI 49855 - Phone
- (906) 225-3870
- Fax
- (906) 225-4861
- NPI assigned
- Jun 16, 2006
- Last updated
- Aug 22, 2013
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 5101009341 | MI | Primary |
Addresses
Primary practice location
1414 West Fair Avenue
Suite 334
Marquette, MI 49855
Mailing address
1414 West Fair Avenue
Suite 334
Marquette, MI 49855
Phone (906) 225-3870
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30054000 | Medicaid | WI | |
| 3090816 | Medicaid | MI | |
| 0655200055 | Other | MI | BLUE CROSS BLUE SHIELD |
| 060029051 | Other | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Des Moines University of Osteopathic Medicine and Health Sciences, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1414 W Fair Ave
Marquette, MI 49855-2675
18341 US Hwy 41
Lanse, MI 49946-8024
Phone (906) 524-3300
500 Campus Dr
Hancock, MI 49930-1452
850 W Baraga Ave
Marquette, MI 49855-4550
901 Lakeshore Dr
Ishpeming, MI 49849-1367
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5697 | OH | MD | Optometrist |
| 5101009341 | MI | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DLP Marquette Physician Practices Inc | Current | Accepting new patients | |
| Portage Hospital LLC | Current | Accepting new patients | |
| DLP Marquette Physician Practices Inc | Current | Accepting new patients | |
| Upper Michigan Cardiovascular Associates, PC | Cardiovascular Disease | Current | Accepting new patients |
| Portage Hospital LLC | Current | Accepting new patients | |
| DLP Marquette Physician Practices Inc | Past | Accepting new patients | |
| North Ohio Heart Center Inc | Cardiovascular Disease | Past | Accepting new patients |
Locations
500 Campus Dr
Hancock, MI 49930
Phone (906) 483-1000
894 Campus Dr
Ste B
Hancock, MI 49930
Phone (906) 483-1128
600 Macinnes Dr
Houghton, MI 49931
Phone (906) 483-1818
N10561 Grandview Ln
Ironwood, MI 49938
Phone (906) 932-1500
901 Lakeshore Dr
Ishpeming, MI 49849
Phone (906) 485-2653
205 Osceola St
Laurium, MI 49913
Phone (906) 337-3100
1414 W Fair Ave
Ste 334
Marquette, MI 49855
Phone (906) 225-3870
1414 W Fair Ave
Ste 344
Marquette, MI 49855
Phone (906) 225-3910
1414 W Fair Ave
Ste 36
Marquette, MI 49855
Phone (906) 225-3864
850 W Baraga Ave
Ste 20
Marquette, MI 49855
Phone (906) 449-3440
Interoperability endpoints
- nelson.gencheff.1@8233.direct.athenahealth.com
- nelson.gencheff@mghvi.directbygreenway.com
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Marquette General Family Medicine - Marquette
- Obesity Medicine (Internal Medicine) Physician
- Marquette, MI
- NPI 1487902995
-
dba UP Health System Portage
- General Acute Care Hospital
- Hancock, MI
- NPI 1245667229
-
dba UP Health System Pediatric Specialists
- Rural Health Clinic/Center
- Marquette, MI
- NPI 1205635760
-
dba UP Health System Portage
- Durable Medical Equipment & Medical Supplies
- Hancock, MI
- NPI 1710314547
-
- Cardiovascular Disease Physician
- Marquette, MI
- NPI 1649214099
-
dba Marquette General Emergency Medicine
- Emergency Medicine Physician
- Marquette, MI
- NPI 1366790727
-
- Cardiovascular Disease Physician
- Lorain, OH
- NPI 1457322992
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba UP Health System Bell
- Critical Access Hospital
- Ishpeming, MI
- NPI 1699101345
-
dba Aspirus Ontonagon Clinic
- Rural Health Clinic/Center
- Ontonagon, MI
- NPI 1023161932
Hospital
-
- Critical Access Hospital
- L'Anse, MI
- NPI 1558479824
-
dba UP Health System Marquette
- General Acute Care Hospital
- Marquette, MI
- NPI 1568727048
-
dba UP Health System Portage
- General Acute Care Hospital
- Hancock, MI
- NPI 1245667229
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1377129600000",
"number": "1073557435",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1414 WEST FAIR AVENUE",
"address_2": "SUITE 334",
"city": "MARQUETTE",
"state": "MI",
"postal_code": "49855",
"telephone_number": "906-225-3870",
"fax_number": "906-225-4861"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1414 WEST FAIR AVENUE",
"address_2": "SUITE 334",
"city": "MARQUETTE",
"state": "MI",
"postal_code": "49855",
"telephone_number": "906-225-3870",
"fax_number": "906-225-4861"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GENCHEFF",
"first_name": "NELSON",
"middle_name": "ERIC",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-16",
"last_updated": "2013-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "MI",
"license": "5101009341",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30054000",
"state": "WI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3090816",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "0655200055",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "060029051",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Marquette, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.