Genesis Accountable Physician Network, LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

GENESIS ACCOUNTABLE PHYSICIAN NETWORK, LLC

Practice address

5429 LBJ Fwy Ste 500
Dallas, TX 75240-2614

Phone

(972) 419-0000

NPI assigned

Aug 6, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Charisse Barta, MD

Title

Chairman of the Board

Phone

(972) 403-3100

Specialties & licenses 1

Addresses

Other names 1

• CMORE Health Doing business as

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

{
    "created_epoch": "1722902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722902400000",
    "number": "1285464149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5429 LBJ FWY STE 500",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752402614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5429 LBJ FWY STE 500",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752402614",
            "telephone_number": "972-419-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS ACCOUNTABLE PHYSICIAN NETWORK, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-06",
        "last_updated": "2024-08-06",
        "certification_date": "2024-08-05",
        "status": "A",
        "authorized_official_last_name": "BARTA",
        "authorized_official_first_name": "CHARISSE",
        "authorized_official_title_or_position": "CHAIRMAN OF THE BOARD",
        "authorized_official_telephone_number": "972-403-3100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CMORE Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• General Practice Physician in Dallas, TX
• Providers in Dallas, TX by specialty
• General Practice Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2024; 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.