Genesiscare USA of Prince Georges County, Maryland LLC

Primary specialty

Radiation Oncology PhysicianTaxonomy code 2085R0001X

Legal business name

GENESISCARE USA OF PRINCE GEORGES COUNTY, MARYLAND LLC

Practice address

7503 Greenway Center Dr
Greenbelt, MD 20770-3508

Phone

(301) 446-3540

Fax

(301) 446-3543

NPI assigned

Mar 26, 2007

Organization subpart

No

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

• Greenbelt Radiation Oncology Center Doing business as

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Vladimir Ioffe, MD

  • Radiation Oncology Physician
  • Greenbelt, MD
  • NPI 1700824794
  NPD
• Jacquelyn B. Dunmore-Griffith, MD

  • Radiation Oncology Physician
  • Lanham, MD
  • NPI 1831166487
  NPD (past)
• Lawrence P. Shombert, MD

  • Radiation Oncology Physician
  • Cumberland, MD
  • NPI 1679555452
  NPD (past)
• David Horvick, M.D.

  • Radiation Oncology Physician
  • Pennington, NJ
  • NPI 1205897808
  NPD (past)

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695600000000",
    "number": "1508984097",
    "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": "7503 GREENWAY CENTER DR",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207703508",
            "telephone_number": "301-446-3540",
            "fax_number": "301-446-3543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESISCARE USA OF PRINCE GEORGES COUNTY, MARYLAND LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2023-09-25",
        "certification_date": "2023-09-25",
        "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": "2085R0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Radiation Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DG8516",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Greenbelt Radiation Oncology Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Greenbelt Radiation Oncology Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gastroenterology and Hepatology of Greater Washington Inc
• Sonia Gazdik, LGSW
• Shakira Gbadamosi, PHARMD
• Sia Gborie, LPN
• Robdeti Geleta, LMSW
• Gennext Group LLC
• Cecil Donald George, MD
• Georgetown Pain Management LLC
• Gerald L. Thompson, O.D., P.a.
• Archelius Gerber

• Radiation Oncology Physician in Greenbelt, MD
• Providers in Greenbelt, MD by specialty
• Radiation Oncology Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2023; 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.