Organization Active NPI

Genesis Health Specialist, PC

  • Internal Medicine Physician
  • Flint, MI
National Provider Identifier
1295496115
Registry record updated Jan 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
GENESIS HEALTH SPECIALIST, PC
Practice address
1119 Villa Linde CT # 37
Flint, MI 48532-3410
Phone
(810) 449-0893
NPI assigned
Jan 3, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2022

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

Authorized official

Name
Dimple Shah
Title
Partner
Phone
(810) 449-0893

Specialties & licenses 1

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

Addresses

Primary practice location

1119 Villa Linde CT # 37
Flint, MI 48532-3410

Mailing address

1119 Villa Linde CT # 37
Flint, MI 48532-3410

National Provider Directory

National Provider Directory

Locations

1119 Villa Linde Ct
#37
Flint, MI 48532
Phone (810) 449-0893

NPI Registry JSON

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

{
    "created_epoch": "1641168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641168000000",
    "number": "1295496115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1119 VILLA LINDE CT # 37",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485323410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1119 VILLA LINDE CT # 37",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485323410",
            "telephone_number": "810-449-0893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS HEALTH SPECIALIST, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-03",
        "last_updated": "2022-01-03",
        "certification_date": "2022-01-03",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "DIMPLE",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "810-449-0893"
    },
    "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 Flint, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2022; 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.