Active NPI
Vincent Paul Genovese, M.D.
- Orthopaedic Surgery Physician
- Greenville, KY
National Provider Identifier
1508822925
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 40710
- Practice address
- 440 Hopkinsville St
Suite 2E
Greenville, KY 42345-1124 - Phone
- (270) 377-0111
- Fax
- (270) 377-0113
- NPI assigned
- Apr 25, 2006
- Last updated
- May 2, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 58998 | MA | |
| Orthopaedic Surgery Physician | 207X00000X | 40710 | KY | Primary |
Addresses
Primary practice location
440 Hopkinsville St
Suite 2E
Greenville, KY 42345-1124
Mailing address
PO Box 23229
Owensboro, KY 42304-3229
Phone (270) 377-0111
Other identifiers 10
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0119098-003 | Other | MA | CIGNA |
| 000000508863 | Other | KY | ANTHEM BLUE CROSS |
| 17311 | Other | MA | PILGRIM |
| 3037843 | Medicaid | MA | |
| P0039857 | Other | KY | RAILROAD MEDICARE |
| 7100003760 | Medicaid | KY | |
| 713792 | Other | MA | TUFTS |
| 79983 | Other | MA | US HEALTH |
| 000867 | Other | MA | BLUECHIP |
| 0901010 | Other | MA | UNITED HEALTH |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | vgenovese13711@direct.owensborohealth.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 58998 | MA | MD | Orthopaedic Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145923200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1556755200000",
"number": "1508822925",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 23229",
"city": "OWENSBORO",
"state": "KY",
"postal_code": "423043229",
"telephone_number": "270-377-0111",
"fax_number": "270-377-0113"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "440 HOPKINSVILLE ST",
"address_2": "SUITE 2E",
"city": "GREENVILLE",
"state": "KY",
"postal_code": "423451124",
"telephone_number": "270-377-0111",
"fax_number": "270-377-0113"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GENOVESE",
"first_name": "VINCENT",
"middle_name": "PAUL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-25",
"last_updated": "2019-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "MA",
"license": "58998",
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "KY",
"license": "40710",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "0119098-003",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BLUE CROSS",
"identifier": "000000508863",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PILGRIM",
"identifier": "17311",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3037843",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P0039857",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100003760",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS",
"identifier": "713792",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "US HEALTH",
"identifier": "79983",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECHIP",
"identifier": "000867",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH",
"identifier": "0901010",
"state": "MA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "vgenovese13711@direct.owensborohealth.org",
"affiliation": "N",
"address_1": "440 Hopkinsville St",
"address_2": "Suite 2E",
"city": "Greenville",
"state": "KY",
"country_code": "US",
"postal_code": "423451124",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Greenville, KY
- Michael R Gabbard, D.O.
- Billie Jean Galyen, MD
- George Michael Garrett, APRN
- Heather N. Garrett, M.D.
- Luke Jansen Gaskin, MD
- Greenville Dental Center
- Greenville Ky Opco LLC (Maple Health and Rehabilitation)
- Greenville Nursing and Rehabilitation LLC
- Holly Marie Griffin, APRN
- Morgan Tayler Griffin, COTA/L
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.