Genesis Neuromonnitoring PLLC

Primary specialty

Electrodiagnostic Medicine PhysicianTaxonomy code 204R00000X

Legal business name

GENESIS NEUROMONNITORING PLLC

Practice address

5750 Rufe Snow Dr Ste 108
North Richland Hills, TX 76180-6140

Phone

(214) 269-3875

Fax

(903) 328-6568

NPI assigned

Dec 4, 2017

Organization subpart

No

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

Authorized official

Name

Gina Sullivan

Title

Billing Manager

Phone

(214) 269-3875

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1512345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512345600000",
    "number": "1225543028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "729 GRAPEVINE HWY # 330",
            "city": "HURST",
            "state": "TX",
            "postal_code": "760542805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5750 RUFE SNOW DR STE 108",
            "city": "NORTH RICHLAND HILLS",
            "state": "TX",
            "postal_code": "761806140",
            "telephone_number": "214-269-3875",
            "fax_number": "903-328-6568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS NEUROMONNITORING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-04",
        "last_updated": "2017-12-04",
        "status": "A",
        "authorized_official_last_name": "SULLIVAN",
        "authorized_official_first_name": "GINA",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "214-269-3875"
    },
    "taxonomies": [
        {
            "code": "204R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Electrodiagnostic Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah V Gardner, D.O.
• Cleveland Martin Garrison, PHARMD
• Alexis Dion Gathers, COTA/L
• Laurence T Gayao, M.D.
• Frank Robert Genco, M.D.
• Genoa Healthcare LLC
• Geoffrey M Millican MD PA
• Geoffrey Scott, M.D., P.a. (Texas Ear Nose Throat and Allergy Center, P.A.)
• Cassaundra Cae Gerhart, FNP-C
• Tapati Ghosh, MD

• Electrodiagnostic Medicine Physician in North Richland Hills, TX
• Providers in North Richland Hills, TX by specialty
• Electrodiagnostic Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2017; 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.