Organization Active NPI

Geniehealth LLC

  • Internal Medicine Physician
  • Severna Park, MD
National Provider Identifier
1659104123
Registry record updated Aug 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
GENIEHEALTH LLC
Practice address
479 Jumpers Hole Rd Ste 304a
Severna Park, MD 21146-1753
Phone
(410) 544-0053
NPI assigned
Aug 21, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2024

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

Authorized official

Name
Eugenia Robertson, MDNPI 1962473330
Title
Owner
Phone
(443) 794-0159

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

479 Jumpers Hole Rd Ste 304a
Severna Park, MD 21146-1753

Mailing address

479 Jumpers Hole Rd Ste 304a
Severna Park, MD 21146-1753
Phone (410) 544-0053

National Provider Directory

National Provider Directory

Locations

479 Jumpers Hole Rd
Ste 304A
Severna Park, MD 21146
Phone (410) 544-0053

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1724198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724198400000",
    "number": "1659104123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "479 JUMPERS HOLE RD STE 304A",
            "city": "SEVERNA PARK",
            "state": "MD",
            "postal_code": "211461753",
            "telephone_number": "410-544-0053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "479 JUMPERS HOLE RD STE 304A",
            "city": "SEVERNA PARK",
            "state": "MD",
            "postal_code": "211461753",
            "telephone_number": "410-544-0053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENIEHEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-21",
        "last_updated": "2024-08-21",
        "certification_date": "2024-08-21",
        "status": "A",
        "authorized_official_last_name": "ROBERTSON",
        "authorized_official_first_name": "EUGENIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "443-794-0159",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Severna Park, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2024; 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.