NPIMap

Organization Active NPI

Genesys Regional Medical Center

  • Obstetrics & Gynecology Physician
  • Flint, MI
National Provider Identifier
1386855286
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
GENESYS REGIONAL MEDICAL CENTER
Practice address
115 E Pierson Rd
Flint, MI 48505-3307
Phone
(810) 600-2438
NPI assigned
May 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Richard Labaere II, DO
Title
Director of Medical Education
Phone
(810) 232-3522

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X MI Primary

Addresses

Primary practice location

115 E Pierson Rd
Flint, MI 48505-3307

Mailing address

PO Box 2015
Flint, MI 48501-2015
Phone (810) 762-4359

Other identifiers 1

IdentifierTypeStateIssuer
16G0009OtherMIHEALTHPLUS OF MICHIGAN

Other names 1

  • McCree Clinic Other name

National Provider Directory

National Provider Directory
Tax ID family
Clifford C Douglas MD37 organizations share this tax ID, including this one

Other organizations with this tax ID 36

Organizations that report the same tax identification number in the National Provider Directory.

View all 36

Locations

115 E Pierson Rd
Flint, MI 48505
Phone (810) 600-2438

NPI Registry JSON

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1386855286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2015",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485012015",
            "telephone_number": "810-762-4359",
            "fax_number": "810-762-4526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 E PIERSON RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485053307",
            "telephone_number": "810-600-2438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESYS REGIONAL MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-24",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "LABAERE II",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "DIRECTOR OF MEDICAL EDUCATION",
        "authorized_official_telephone_number": "810-232-3522",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHPLUS OF MICHIGAN",
            "identifier": "16G0009",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "McCree Clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Jul 21, 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.