Genome Consult, LLC

Primary specialty

Clinical Pathology/Laboratory Medicine PhysicianTaxonomy code 207ZP0105X

License

M5198 Issued in TX

Legal business name

GENOME CONSULT, LLC

Practice address

4383 Medical Dr Ste 4077
San Antonio, TX 78229-3307

Phone

(210) 593-2514

Fax

(210) 949-0261

NPI assigned

Nov 29, 2010

Last updated

Mar 4, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Shelly Gunn, MD, PHDNPI 1891853966

Title

President

Phone

(210) 593-2514

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Shelly Gunn, MD

  • Clinical Pathology/Laboratory Medicine Physician
  • San Antonio, TX
  • NPI 1891853966
  NPD (past) Authorized official

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

{
    "created_epoch": "1290988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299196800000",
    "number": "1093017949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 NAVARRO ST STE 406",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782051867",
            "telephone_number": "210-593-2514",
            "fax_number": "210-949-0261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4383 MEDICAL DR STE 4077",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293307",
            "telephone_number": "210-593-2514",
            "fax_number": "210-949-0261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENOME CONSULT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-29",
        "last_updated": "2011-03-04",
        "status": "A",
        "authorized_official_last_name": "GUNN",
        "authorized_official_first_name": "SHELLY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "210-593-2514",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, PHD"
    },
    "taxonomies": [
        {
            "code": "207ZP0105X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pathology, Clinical Pathology/Laboratory Medicine",
            "state": "TX",
            "license": "M5198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicholas Joseph Gennuso, PT
• Rosemaria Gennuso, MD
• Genoa Healthcare LLC
• Genoa Healthcare LLC
• Genoa Healthcare LLC
• Maureen Genov, PA-C
• Natassia Genovesi, LPC
• Mark Patrick Gentile, M.D.
• Gentiva Health Services Inc
• Gentle Care Wounds and Wellness LLC

• Clinical Pathology/Laboratory Medicine Physician in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Clinical Pathology/Laboratory Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2011; 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.