Geneva Woods Surgical Center Inc

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

58236 Issued in AK

Legal business name

GENEVA WOODS SURGICAL CENTER INC

Practice address

3730 Rhone Cir
Ste 100
Anchorage, AK 99508-5054

Phone

(907) 562-4764

Fax

(907) 561-8519

NPI assigned

Sep 22, 2006

Last updated

Mar 22, 2013By 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

Dr. Donald R. Endres, M.D.NPI 1952311425

Title

President

Phone

(907) 562-4764

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AK

Enrollment records 1

Listed as

Geneva Woods Surgical Center IncCCN 02C0001002

Medicare certification status

ActiveFrom the Provider of Services file

Locations

Practitioners 1

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.

• Donald R. Endres, M.D.

  • Otolaryngology/Facial Plastic Surgery Physician
  • Anchorage, AK
  • NPI 1952311425
  Authorized official Same address or phone

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363910400000",
    "number": "1699875450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3730 RHONE CIR",
            "address_2": "STE 100",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995085054",
            "telephone_number": "907-562-4764",
            "fax_number": "907-561-8519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3730 RHONE CIR",
            "address_2": "STE 100",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995085054",
            "telephone_number": "907-562-4764",
            "fax_number": "907-561-8519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENEVA WOODS SURGICAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-22",
        "last_updated": "2013-03-22",
        "status": "A",
        "authorized_official_last_name": "ENDRES",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "907-562-4764",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "AK",
            "license": "58236",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CL0635",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Genesis Recovery Services, Inc.
• Genesis Recovery Services, Inc.
• Geneva Woods Birth Center
• Geneva Woods Ear, Nose and Throat Associates, Inc.
• Geneva Woods Surgical Center Anesthesia, LLC
• Genevieve Assisted Living Home
• Nicholas Alexander Gengler
• Deanna P Geno-Gracey
• Genoa Healthcare LLC
• Brianna Nichole Gentile, MA, BCBA, LBA

• Ambulatory Surgical Clinic/Center in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Ambulatory Surgical Clinic/Center in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.