Active NPI
Genesis Radiology, P.a.
- Diagnostic Radiology Physician
- Plano, TX
National Provider Identifier
1154433746
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- G7011
- Legal business name
- GENESIS RADIOLOGY, P.A.
- Practice address
- 2828 W Parker Rd
Plano, TX 75075-9153 - Phone
- (972) 599-1860
- NPI assigned
- Aug 31, 2006
- 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
- Albert Tesoriero
- Title
- Medical Director
- Phone
- (972) 599-1860
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | G7011 | TX | Primary |
Addresses
Primary practice location
2828 W Parker Rd
Plano, TX 75075-9153
Mailing address
PO Box 864768
Plano, TX 75086-4768
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 180974600 | Other | TX | DEPT OF LABOR |
| 113724202 | Medicaid | TX | |
| 8J8280 | Other | TX | BCBS |
| 1593231 | Medicaid | LA |
National Provider Directory
National Provider DirectoryLocations
2828 W Parker Rd
Plano, TX 75075
Phone (972) 599-1860
2828 W Parker Rd
Ste B106F
Plano, TX 75075
Phone (972) 599-1860
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Diagnostic Radiology Physician
- Dallas, TX
- NPI 1952339392
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1229472000000",
"number": "1154433746",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 864768",
"city": "PLANO",
"state": "TX",
"postal_code": "750864768"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2828 W PARKER RD",
"city": "PLANO",
"state": "TX",
"postal_code": "750759153",
"telephone_number": "972-599-1860"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GENESIS RADIOLOGY, P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-31",
"last_updated": "2008-12-17",
"status": "A",
"authorized_official_last_name": "TESORIERO",
"authorized_official_first_name": "ALBERT",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "972-599-1860"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": "TX",
"license": "G7011",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEPT OF LABOR",
"identifier": "180974600",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "113724202",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "8J8280",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1593231",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
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- Genesis Eldercare Rehabilitation Services LLC
- Genesis Family Chiropractic
- Genesis Spine Associates, Inc.
- Gentle Dental Care
- Gentle Hands Chiropractic
- Gentle Procedures Clinic PLLC
- Traquella Gentry
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 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.