NPIMap

Organization Active NPI

Genesis Medical Associates, LLP

  • Internal Medicine Physician
  • Dallas, TX
National Provider Identifier
1194903922
Registry record updated Feb 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
GENESIS MEDICAL ASSOCIATES, LLP
Practice address
12201 Merit Dr
Suite 350
Dallas, TX 75251-2213
Phone
(972) 419-0011
Fax
(972) 239-3809
NPI assigned
Feb 4, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2008

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

Authorized official

Name
Mr. Tom Phayre
Title
Executive Director
Phone
(972) 419-0011

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

12201 Merit Dr
Suite 350
Dallas, TX 75251-2213

Mailing address

12201 Merit Dr
Suite 350
Dallas, TX 75251-2213
Phone (972) 419-0011

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1202083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202083200000",
    "number": "1194903922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12201 MERIT DR",
            "address_2": "SUITE 350",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752512213",
            "telephone_number": "972-419-0011",
            "fax_number": "972-239-3809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12201 MERIT DR",
            "address_2": "SUITE 350",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752512213",
            "telephone_number": "972-419-0011",
            "fax_number": "972-239-3809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS MEDICAL ASSOCIATES, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-04",
        "last_updated": "2008-02-04",
        "status": "A",
        "authorized_official_last_name": "PHAYRE",
        "authorized_official_first_name": "TOM",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "972-419-0011",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 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.