Genesiscare USA of Florida LLC

Primary specialty

Urology PhysicianTaxonomy code 208800000X

Legal business name

GENESISCARE USA OF FLORIDA LLC

Doing business as

Uro-Surg Associates

Practice address

350 NW 84TH Ave Ste 300
Plantation, FL 33324-1859

Phone

(954) 474-2929

Fax

(954) 474-9708

NPI assigned

Jun 4, 2012

Last updated

Oct 5, 2023By the provider in NPPES

Organization subpart

Yes

Parent organization

GENESISCARE USA INC.As reported in NPPES

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

Authorized official

Name

Shaden Marzouk

Title

President

Phone

(239) 931-7254

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Uro-Surg Associates Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Networks

• HealthSun Health Plans Network

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kristin Nicole Harshman

  • Nurse Practitioner
  • Fort Myers, FL
  • NPI 1114523420
  NPD
• Alex V Hnatov, MD

  • Radiation Oncology Physician
  • Orlando, FL
  • NPI 1225006463
  NPD
• Paul R Kahn, M.D.

  • Urology Physician
  • Plantation, FL
  • NPI 1538367016
  NPD
• Eliecer Kurzer, MD

  • Urology Physician
  • Miramar, FL
  • NPI 1134128267
  NPD
• Damian Portela, M.D.

  • Urology Physician
  • Wellington, FL
  • NPI 1194703330
  NPD
• Patrick Villicana

  • Urology Physician
  • Plantation, FL
  • NPI 1952479008
  NPD

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

{
    "created_epoch": "1338768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696464000000",
    "number": "1497016729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1419 SE 8TH TER STE 200",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339903213",
            "telephone_number": "239-931-7342",
            "fax_number": "239-931-7385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 NW 84TH AVE STE 300",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333241859",
            "telephone_number": "954-474-2929",
            "fax_number": "954-474-9708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESISCARE USA OF FLORIDA LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GENESISCARE USA INC.",
        "enumeration_date": "2012-06-04",
        "last_updated": "2023-10-05",
        "certification_date": "2023-10-05",
        "status": "A",
        "authorized_official_last_name": "MARZOUK",
        "authorized_official_first_name": "SHADEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "239-931-7254"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CE7138",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Uro-Surg Associates",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Uro-Surg Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gena M Bofshever, DC, LLC (Dr. Gena Chiropractic)
• Brittany Gendler, PA-C
• Genecco Rehab, Inc
• Catherine Gener
• Genesis Family Services
• Genesiscare USA of Florida LLC (Ead Urology)
• Genestem
• Quiana Shandrisse Gentle Carmona, PSYD
• Gentle Touch Alf
• Gentle Touch Mobile Phlebotomy Services, Inc

• Urology Physician in Plantation, FL
• Providers in Plantation, FL by specialty
• Urology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.