Genesis Health System

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

GENESIS HEALTH SYSTEM

Doing business as

Genesis Health Group

Practice address

615 Valley View Dr
Ste 204
Moline, IL 61265-6150

Phone

(309) 764-4500

Fax

(309) 762-2250

NPI assigned

Aug 21, 2006

Last updated

Sep 28, 2009By 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

Mr. Mark G Rogers

Title

Vice President of Finance

Phone

(563) 421-6513

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Genesis Health Group Doing business as

Locations (25 of 31)

Practitioners 256

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.

• Benjamin David Acton, DO

  • Surgery Physician
  • Silvis, IL
  • NPI 1013409903
  NPD (past)
• Sissay Z Anberber, MD

  • Pediatrics Physician
  • Geneva, IL
  • NPI 1467613638
  NPD (past)
• Linda Marie Anders, DNP, MBA, APRN

  • Family Nurse Practitioner
  • Silvis, IL
  • NPI 1508456039
  NPD (past)
• Brian D Anderson, DO

  • Family Medicine Physician
  • Moline, IL
  • NPI 1134124191
  NPD (past)
• Calvin E Atwell, M.D.

  • Surgery Physician
  • Moline, IL
  • NPI 1972574028
  NPD (past)
• Woldegabriel Baynesagn, M.D.

  • Pediatrics Physician
  • Silvis, IL
  • NPI 1801192406
  NPD (past)
• Liana Sophie Beauchamp, MD

  • Family Medicine Physician
  • Silvis, IL
  • NPI 1669052544
  NPD (past)
• Dawn M Bode, MD

  • Family Medicine Physician
  • Moline, IL
  • NPI 1619972999
  NPD (past)
• Julie Irene Brown, M.D.

  • Family Medicine Physician
  • Moline, IL
  • NPI 1538488788
  NPD (past)
• Michael A Burchett, DO

  • Surgery Physician
  • Silvis, IL
  • NPI 1669672325
  NPD (past)
• Brian T Cady, MD

  • Internal Medicine Physician
  • Moline, IL
  • NPI 1083619134
  NPD (past)
• Melissa Caldwell, RN, BSN, FNP-C

  • Family Nurse Practitioner
  • Moline, IL
  • NPI 1134883622
  NPD (past)

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254096000000",
    "number": "1164538435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "865 LINCOLN RD",
            "address_2": "SUITE L10",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "527224190",
            "telephone_number": "563-355-9191",
            "fax_number": "563-355-3419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 VALLEY VIEW DR",
            "address_2": "STE 204",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612656150",
            "telephone_number": "309-764-4500",
            "fax_number": "309-762-2250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS HEALTH SYSTEM",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-21",
        "last_updated": "2009-09-28",
        "status": "A",
        "authorized_official_last_name": "ROGERS",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "VICE PRESIDENT OF FINANCE",
        "authorized_official_telephone_number": "563-421-6513",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC",
            "identifier": "5727210017",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Genesis Health Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ruth Gbadeyan
• Komitse Gbohla
• General Surgery Associates, LLC
• Generations Womens Health S C
• Genesis Health System (Genesis Health Group)
• Genesis Health System (Genesis Health Group)
• Genesis Health System (Genesis Convenient Care)
• Genesis Health System (Genesis Occupational Health)
• Genesis Health System (Integrative Wellness Center)
• Tara J Gengler, APN

• Family Medicine Physician in Moline, IL
• Providers in Moline, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2009; 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.