Organization Active NPI

Genesis Womens Health Inc

  • Obstetrics & Gynecology Physician
  • North Miami Beach, FL
National Provider Identifier
1568987527
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
ME102642 Issued in FL
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, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.