Active NPI
Jason Alan Genin, D.O.
- Sports Medicine (Family Medicine) Physician
- Lorain, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Family Medicine) Physician
- License
- 34.009572
- Practice address
- 5800 Cooper Foster Park Rd W
Lorain, OH 44053-4131 - Phone
- (440) 204-7800
- Fax
- (440) 204-7815
- NPI assigned
- Jun 26, 2007
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Sports Medicine (Family Medicine) Physician | 207QS0010X | 34.009572 | OH | Primary |
Addresses
Primary practice location
5800 Cooper Foster Park Rd W
Lorain, OH 44053-4131
Mailing address
9500 Euclid Ave
Cleveland, OH 44195-0001
Phone (440) 204-7800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Sports Medicine
- Education
- West Virginia School of Osteopathic Medicine, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
18101 Lorain Ave
Cleveland, OH 44111-5612
Phone (216) 671-2205
33100 Cleveland Clinic Blvd
Avon, OH 44011-1390
Phone (440) 695-4000
8950 Euclid Ave
Cleveland, OH 44195-0001
Phone (216) 444-8950
9500 Euclid Ave
Cleveland, OH 44195-0001
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34.009572 | OH | MD | Sports Medicine (Family Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Cleveland Clinic Foundation | Current | Accepting new patients | |
| Lake Hospital System | Past | Accepting new patients | |
| Lima Memorial Joint Operating Company | Past | Accepting new patients | |
| Lake Hospital System Inc | Past | Accepting new patients | |
| Lake Hospital System Inc. | Past | Accepting new patients |
Locations
33100 Cleveland Clinic Blvd
Avon, OH 44011
Phone (440) 695-4000
18101 Lorain Ave
Cleveland, OH 44111
Phone (216) 476-7029
9500 Euclid Ave
Cleveland, OH 44195
Phone (216) 442-1270
5800 Cooper Foster Park Rd W
Lorain, OH 44053
Phone (440) 204-7400
850 Columbia Rd
Ste 120
Westlake, OH 44145
Phone (440) 250-5725
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Acute Care Hospital
- Cleveland, OH
- NPI 1679525919
-
- Obstetrics & Gynecology Physician
- Willoughby, OH
- NPI 1346202512
-
dba Lake Health Allied Health Professionals
- Physician Assistant
- Concord TWP, OH
- NPI 1851698435
-
- Adult Health Nurse Practitioner
- Concord TWP, OH
- NPI 1043275837
-
dba Lima Memorial Health System
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Akron, OH
- NPI 1821035940
-
- General Acute Care Hospital
- Avon, OH
- NPI 1346607017
-
- General Acute Care Hospital
- Cleveland, OH
- NPI 1215989611
-
- General Acute Care Hospital
- Cleveland, OH
- NPI 1679525919
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182816000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1318982400000",
"number": "1548466493",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9500 EUCLID AVE",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441950001",
"telephone_number": "440-204-7800",
"fax_number": "440-204-7815"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5800 COOPER FOSTER PARK RD W",
"city": "LORAIN",
"state": "OH",
"postal_code": "440534131",
"telephone_number": "440-204-7800",
"fax_number": "440-204-7815"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GENIN",
"first_name": "JASON",
"middle_name": "ALAN",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-26",
"last_updated": "2011-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207QS0010X",
"taxonomy_group": "",
"desc": "Family Medicine, Sports Medicine",
"state": "OH",
"license": "34.009572",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lorain, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.