NPIMap

Organization Active NPI

Genesys Regional Medical Centre

  • General Acute Care Hospital
  • Grand Blanc, MI
National Provider Identifier
1649526419
Registry record updated Jul 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
4301100961 Issued in MI
Legal business name
GENESYS REGIONAL MEDICAL CENTRE
Practice address
1 Genesys Pkwy
Graduate Medical Education Room 4595
Grand Blanc, MI 48439-8065
Phone
(443) 254-6850
NPI assigned
Jul 31, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2012

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

Authorized official

Name
Dr. Kenneth Yokosawa
Title
Family Medicine Program Director
Phone
(810) 606-5981

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 4301100961 MI Primary

Addresses

Primary practice location

1 Genesys Pkwy
Graduate Medical Education Room 4595
Grand Blanc, MI 48439-8065

Mailing address

17102 Thornridge Dr
Grand Blanc, MI 48439-9218
Phone (443) 254-6850

National Provider Directory

National Provider Directory
Tax ID family
Clifford C Douglas MD37 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

Locations

1 Genesys Pkwy
Rm 4595
Grand Blanc, MI 48439
Phone (443) 254-6850

NPI Registry JSON

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

{
    "created_epoch": "1343692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343692800000",
    "number": "1649526419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17102 THORNRIDGE DR",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484399218",
            "telephone_number": "443-254-6850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 GENESYS PKWY",
            "address_2": "GRADUATE MEDICAL EDUCATION ROOM 4595",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484398065",
            "telephone_number": "443-254-6850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESYS REGIONAL MEDICAL CENTRE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-31",
        "last_updated": "2012-07-31",
        "status": "A",
        "authorized_official_last_name": "YOKOSAWA",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "FAMILY MEDICINE PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "810-606-5981",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "MI",
            "license": "4301100961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jul 31, 2012; 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.