Genesis Eldercare Physician Services LLC

Primary specialty

Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X

Legal business name

GENESIS ELDERCARE PHYSICIAN SERVICES LLC

Practice address

515 Fairmount Ave
Towson, MD 21286

Phone

(410) 832-7790

NPI assigned

Dec 14, 2017

Last updated

Aug 5, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Eric Shapiro

Title

Vice President

Phone

(410) 832-7790

Specialties & licenses 2

Addresses

Locations

Practitioners 227

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Julie Kikelomo Adeoye, NP-C

  • Family Nurse Practitioner
  • Upper Marlboro, MD
  • NPI 1821757840
  NPD
• Ahsan Ilahi Afzal, MD

  • Family Medicine Physician
  • Lanham, MD
  • NPI 1316263692
  NPD
• Liaqat Ali

  • Internal Medicine Physician
  • Baltimore, MD
  • NPI 1700857232
  NPD
• Kuroush Aligholizadeh, CRNP

  • Family Nurse Practitioner
  • Mount Airy, MD
  • NPI 1144734492
  NPD
• Bobbi C Atkinson, RN-BC, MSN, CRNP

  • Family Nurse Practitioner
  • Easton, MD
  • NPI 1720386030
  NPD
• Ngum Avwontom, FNP, CRNP

  • Primary Care Nurse Practitioner
  • Randallstown, MD
  • NPI 1972173904
  NPD
• Mateen A Awan, MD

  • Internal Medicine Physician
  • Columbia, MD
  • NPI 1316918303
  NPD
• Sharen Ekua Ayensu, FNP-BC

  • Family Nurse Practitioner
  • Upper Marlboro, MD
  • NPI 1952642357
  NPD
• Arnulfo B Bonavente, M.D.

  • Family Medicine Physician
  • Upper Marlboro, MD
  • NPI 1619973534
  NPD
• Melissa Brown, N.P.

  • Acute Care Nurse Practitioner
  • La Plata, MD
  • NPI 1750730222
  NPD
• Yolanda Alisa Coleman

  • Family Nurse Practitioner
  • Baltimore, MD
  • NPI 1528641560
  NPD
• Dawn Christine Conklin, P.A.-C.

  • Physician Assistant
  • Baltimore, MD
  • NPI 1114966678
  NPD

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

{
    "created_epoch": "1513209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564963200000",
    "number": "1699280511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 62946",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212642946",
            "telephone_number": "410-494-7607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 FAIRMOUNT AVE",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "21286",
            "telephone_number": "410-832-7790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS ELDERCARE PHYSICIAN SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-14",
        "last_updated": "2019-08-05",
        "status": "A",
        "authorized_official_last_name": "SHAPIRO",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "410-832-7790"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "IN",
            "license": null,
            "primary": true
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aysenur Genc, DMD
• General German Aged Peoples Home of Baltimore (Edenwald)
• Genesis Eldercare Physician Services LLC
• Genesis Eldercare Physician Services LLC
• Genesis Eldercare Physician Services LLC
• Genesis Rehab Services
• Genesis Staffing Services, LLC
• Anja Genth
• Gentle Touch Home Care Inc.
• Gentlehearts Homecare LLC

• Geriatric Medicine (Internal Medicine) Physician in Towson, MD
• Providers in Towson, MD by specialty
• Geriatric Medicine (Internal Medicine) Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2019; 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.