The Genesis Project, PLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

27190 Issued in IA

Legal business name

THE GENESIS PROJECT, PLC

Practice address

1601 Boyson Square Dr
Suite B
Hiawatha, IA 52233-2311

Phone

(319) 294-9890

Fax

(319) 294-9896

NPI assigned

Aug 7, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Todd Allan Conway, M.D.

Title

Owner

Phone

(319) 294-9890

Specialties & licenses 2

Addresses

Other names 1

• Genesis Health Clinic Doing business as

Locations

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

{
    "created_epoch": "1249603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1249603200000",
    "number": "1356572358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 BOYSON SQUARE DR",
            "address_2": "SUITE B",
            "city": "HIAWATHA",
            "state": "IA",
            "postal_code": "522332311",
            "telephone_number": "319-294-9890",
            "fax_number": "319-294-9896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 BOYSON SQUARE DR",
            "address_2": "SUITE B",
            "city": "HIAWATHA",
            "state": "IA",
            "postal_code": "522332311",
            "telephone_number": "319-294-9890",
            "fax_number": "319-294-9896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE GENESIS PROJECT, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-07",
        "last_updated": "2009-08-07",
        "status": "A",
        "authorized_official_last_name": "CONWAY",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "ALLAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "319-294-9890",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "IA",
            "license": "27190",
            "primary": true
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "IA",
            "license": "27190",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Genesis Health Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Primary Care Clinic/Center in Hiawatha, IA
• Providers in Hiawatha, IA by specialty
• Primary Care Clinic/Center in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2009; 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.