Genevieve Tan Co Faustino, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

35-122566 Issued in OH

Practice address

4310 Clime Rd
Suite B
Columbus, OH 43228-3496

Phone

(614) 274-7799

Fax

(614) 274-3209

NPI assigned

Jan 24, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Genevieve Tan Co Former name

Electronic endpoints 1

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Internal Medicine

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Mount Carmel Healthproviders IncGroup PAC ID 9537073804, 140 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mount Carmel Home Care Home health agency, Columbus, OH, CCN 367273
• Mount Carmel East & West Hospital, Columbus, OH, CCN 360035
• James Cancer Hospital & Solove Research Institute Hospital, Columbus, OH, CCN 360242
• Diley Ridge Medical Center Hospital, Canal Winchester, OH, CCN 360358
• Doctors Hospital Hospital, Columbus, OH, CCN 360152
• Mount Carmel Dublin Hospital, Dublin, OH, CCN 360375

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Mount Carmel Healthproviders Inc

  • Family Medicine Physician
  • Columbus, OH
  • NPI 1356384143

  Internal Medicine

  Medicare reassignment Care Compare group NPD
• Mount Carmel Health Providers Inc

  • Family Medicine Physician
  • Columbus, OH
  • NPI 1831364876
  NPD
• Lima Memorial Joint Operating Company

  • General Acute Care Hospital
  • Lima, OH
  • NPI 1336144732
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Arthur G James Cancer Hospital and Research Institute

  • Special Hospital
  • Columbus, OH
  • NPI 1124127683
  Care Compare affiliation
• Diley Ridge Medical Center

  • General Acute Care Hospital
  • Canal Winchester, OH
  • NPI 1225361181
  Care Compare affiliation
• Mount Carmel Health System

  • General Acute Care Hospital
  • Grove City, OH
  • NPI 1710067376
  Care Compare affiliation
• Mount Carmel Health System

  • General Acute Care Hospital
  • Dublin, OH
  • NPI 1710752183
  Care Compare affiliation
• Mount Carmel Health System

  • General Acute Care Hospital
  • Columbus, OH
  • NPI 1982784534
  Care Compare affiliation
• Ohiohealth Corporation

  • General Acute Care Hospital
  • Columbus, OH
  • NPI 1972535052
  Care Compare affiliation
• Trinity Home Health Services

  • Home Health Agency
  • Columbus, OH
  • NPI 1104863927
  Care Compare affiliation

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

{
    "created_epoch": "1264291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649376000000",
    "number": "1689905150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4310 CLIME RD",
            "address_2": "SUITE B",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432283496",
            "telephone_number": "614-274-7799",
            "fax_number": "614-274-3209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4310 CLIME RD",
            "address_2": "SUITE B",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432283496",
            "telephone_number": "614-274-7799",
            "fax_number": "614-274-3209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CO FAUSTINO",
        "first_name": "GENEVIEVE",
        "middle_name": "TAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-24",
        "last_updated": "2022-04-08",
        "certification_date": "2022-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD440857",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35-122566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gcofaustino1148002@direct.trinity-health.org",
            "affiliation": "N",
            "endpointDescription": "mount carmel health columbus direct address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "ccd",
            "address_1": "4310 Clime Rd",
            "address_2": "Suite B",
            "city": "Columbus",
            "state": "OH",
            "country_code": "US",
            "postal_code": "432283496",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "GENEVIEVE",
            "last_name": "CO",
            "middle_name": "TAN",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Internal Medicine Physician in Columbus, OH
• Providers in Columbus, OH by specialty
• Internal Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2022; 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.

Verify at the official NPI Registry.