Gevinah Healthcare SC

Primary specialty

Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X

Legal business name

GEVINAH HEALTHCARE SC

Practice address

3100 Washington Rd
Kenosha, WI 53144-1604

Phone

(310) 933-5688

NPI assigned

Sep 20, 2023

Organization subpart

No

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

Authorized official

Name

Mr. Michael Farah

Title

Owner

Phone

(310) 933-5688

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Amy Bjorkman

  • Family Nurse Practitioner
  • Appleton, WI
  • NPI 1588224919
  NPD

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

{
    "created_epoch": "1695168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780012800000",
    "number": "1134907173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15910 VENTURA BLVD STE 1701",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914362816",
            "telephone_number": "310-933-5688",
            "fax_number": "310-616-5188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 WASHINGTON RD",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531441604",
            "telephone_number": "310-933-5688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEVINAH HEALTHCARE SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-20",
        "last_updated": "2026-05-29",
        "certification_date": "2026-05-29",
        "status": "A",
        "authorized_official_last_name": "FARAH",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-933-5688",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tarah Marie Gerner, D.D.S
• Christopher Francis Gerou
• Joshua M Gershtenson, MD
• Richard Geske
• Ashlee Gethner, BA, MA
• Mohsin Yunus Ghadiali, M.D.
• Samantha Ghanayem Bouikidis
• Margaret Mercer Ghinazzi, WHNP-BC
• Sara Danielle Giboyeaux, LPC
• Rachel Giese, OTR

• Geriatric Medicine (Family Medicine) Physician in Kenosha, WI
• Providers in Kenosha, WI by specialty
• Geriatric Medicine (Family Medicine) Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2026; 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.