Organization Active NPI

Genesys Regional Medical Center

  • Ophthalmologic Surgery Clinic/Center
  • Auburn Hills, MI
National Provider Identifier
1124274329
Registry record updated Aug 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmologic Surgery Clinic/CenterTaxonomy code 261QS0132X
License
5315030686 Issued in MI
Legal business name
GENESYS REGIONAL MEDICAL CENTER
Practice address
235 Tree Top Cir Apt 206
Auburn Hills, MI 48326-1185
Phone
(515) 779-1412
NPI assigned
Aug 7, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2008

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

Authorized official

Name
Dr. Deborah Gess Ristvedt, DO
Title
Ophthalmology Resident
Phone
(515) 779-1412

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmologic Surgery Clinic/Center 261QS0132X 5315030686 MI Primary

Addresses

Primary practice location

235 Tree Top Cir Apt 206
Auburn Hills, MI 48326-1185

Mailing address

235 Tree Top Cir Apt 206
Auburn Hills, MI 48326-1185
Phone (515) 779-1412

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1218067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218067200000",
    "number": "1124274329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 TREE TOP CIR APT 206",
            "city": "AUBURN HILLS",
            "state": "MI",
            "postal_code": "483261185",
            "telephone_number": "515-779-1412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 TREE TOP CIR APT 206",
            "city": "AUBURN HILLS",
            "state": "MI",
            "postal_code": "483261185",
            "telephone_number": "515-779-1412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESYS REGIONAL MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-07",
        "last_updated": "2008-08-07",
        "status": "A",
        "authorized_official_last_name": "RISTVEDT",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "GESS",
        "authorized_official_title_or_position": "OPHTHALMOLOGY RESIDENT",
        "authorized_official_telephone_number": "515-779-1412",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QS0132X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ophthalmologic Surgery",
            "state": "MI",
            "license": "5315030686",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2008; 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.