Genecov Plastic Surgery Group, PA

Primary specialty

Plastic Surgery Within the Head and Neck (Plastic Surgery) PhysicianTaxonomy code 2082S0099X

License

NA Issued in TX

Legal business name

GENECOV PLASTIC SURGERY GROUP, PA

Practice address

7777 Forest LN Ste C528
Dallas, TX 75230-6848

Phone

(972) 331-1900

Fax

(972) 331-1909

NPI assigned

Mar 26, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Juli Smiddy

Title

Practice Administrator

Phone

(972) 331-1900

Specialties & licenses 2

Addresses

Other identifiers 2

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618531200000",
    "number": "1164549887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7777 FOREST LN STE C528",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752306848",
            "telephone_number": "972-331-1900",
            "fax_number": "972-331-1909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7777 FOREST LN STE C528",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752306848",
            "telephone_number": "972-331-1900",
            "fax_number": "972-331-1909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENECOV PLASTIC SURGERY GROUP, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2021-04-16",
        "certification_date": "2021-04-16",
        "status": "A",
        "authorized_official_last_name": "SMIDDY",
        "authorized_official_first_name": "JULI",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "972-331-1900",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "2082S0099X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Plastic Surgery, Plastic Surgery Within the Head and Neck",
            "state": "TX",
            "license": "NA",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "19138",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "112848004",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "TXB102342",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Asha Gene, MSN APRN AGACNP-BC
• Genecov Physician Group
• Genecov Plastic Surgery Group
• Genecov Plastic Surgery Group
• Genecov Plastic Surgery Group
• Lisa W Genecov, MD
• General & Oncology Surgery Assoc LLP
• General and Oncology Surgical Associates PA
• General Internal Medicine, PA
• Dale A. General, PH.D.

• Plastic Surgery Physician in Dallas, TX
• Providers in Dallas, TX by specialty
• Plastic Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2021; 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.