Active NPI
Genesis Womens Health Inc
- Obstetrics & Gynecology Physician
- North Miami Beach, FL
National Provider Identifier
1568987527
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- ME102642
- Legal business name
- GENESIS WOMENS HEALTH INC
- Practice address
- 16400 NW 2ND Ave Ste 100
North Miami Beach, FL 33169-6035 - Phone
- (305) 948-4701
- NPI assigned
- Aug 10, 2017
- Last updated
- Jul 21, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Corris Elmonda Archer, MD
- Title
- Physician
- Phone
- (305) 948-4701
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | ME102642 | FL | Primary |
Addresses
Primary practice location
16400 NW 2ND Ave Ste 100
North Miami Beach, FL 33169-6035
Mailing address
16400 NW 2ND Ave Ste 100
North Miami Beach, FL 33169-6035
Phone (305) 948-4701
National Provider Directory
National Provider DirectoryLocations
16400 NW 2nd Ave
Ste 100
North Miami Beach, FL 33169
Phone (305) 948-4701
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1502323200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1568987527",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16400 NW 2ND AVE STE 100",
"city": "NORTH MIAMI BEACH",
"state": "FL",
"postal_code": "331696035",
"telephone_number": "305-948-4701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16400 NW 2ND AVE STE 100",
"city": "NORTH MIAMI BEACH",
"state": "FL",
"postal_code": "331696035",
"telephone_number": "305-948-4701"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GENESIS WOMENS HEALTH INC",
"organizational_subpart": "NO",
"enumeration_date": "2017-08-10",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "ARCHER",
"authorized_official_first_name": "CORRIS",
"authorized_official_middle_name": "ELMONDA",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "305-948-4701",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "FL",
"license": "ME102642",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Miami Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.