NPIMap

Organization Active NPI

Genesys Regional Medical Center

Doing business as Henry Ford Genesys Hospital

  • Pediatrics Physician
  • Grand Blanc, MI
National Provider Identifier
1528215837
Registry record updated Mar 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
GENESYS REGIONAL MEDICAL CENTER
Doing business as
Henry Ford Genesys Hospital
Practice address
4642 Genesys Pkwy
Grand Blanc, MI 48439-8067
Phone
(810) 606-5830
NPI assigned
Aug 19, 2008
Last updated
Mar 18, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2025

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

Authorized official

Name
David Lopez
Title
Physician Services
Phone
(810) 606-5000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X NU Primary

Addresses

Primary practice location

4642 Genesys Pkwy
Grand Blanc, MI 48439-8067

Mailing address

4642 Genesys Pkwy
Grand Blanc, MI 48439-8067
Phone (810) 606-5830

Other names 2

  • Henry Ford Genesys Hospital Doing business as
  • Genesys Pediatric Specialty Clinic Other name

National Provider Directory

National Provider Directory
Tax ID family
Benjamin Burroughs PA37 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

NPI Registry JSON

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

{
    "created_epoch": "1219104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742256000000",
    "number": "1528215837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4642 GENESYS PKWY",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484398067",
            "telephone_number": "810-606-5830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4642 GENESYS PKWY",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484398067",
            "telephone_number": "810-606-5830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESYS REGIONAL MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-19",
        "last_updated": "2025-03-18",
        "certification_date": "2025-03-18",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PHYSICIAN SERVICES",
        "authorized_official_telephone_number": "810-606-5000"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Henry Ford Genesys Hospital",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Genesys Pediatric Specialty Clinic",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Genesys Pediatric Specialty Clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Grand Blanc, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2025; 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.