Genesis Health System

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

036062709 Issued in IL

Legal business name

GENESIS HEALTH SYSTEM

Doing business as

Integrative Wellness Center

Practice address

2526 41St St
Moline, IL 61265-5016

Phone

(309) 792-7063

Fax

(309) 764-9326

NPI assigned

Jul 3, 2006

Last updated

Sep 11, 2025By 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

Mr. Mark J. Kleinschmidt

Title

VP of Finance

Phone

(563) 421-6513

Specialties & licenses 5

Addresses

Other names 1

• Integrative Wellness Center Doing business as

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Genesis Health System

  dba Genesis Medical Center - Silvis

  • General Acute Care Hospital
  • Silvis, IL
  • NPI 1427132604

  O20060824000219

  Same enrollment

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1760412068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2526 41ST ST",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612655016",
            "telephone_number": "309-792-7063",
            "fax_number": "309-764-9326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2526 41ST ST",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612655016",
            "telephone_number": "309-792-7063",
            "fax_number": "309-764-9326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS HEALTH SYSTEM",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-03",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "KLEINSCHMIDT",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "VP OF FINANCE",
        "authorized_official_telephone_number": "563-421-6513",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085001982",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "IL",
            "license": "071002883",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038007310",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IL",
            "license": "164002086",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036062709",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Integrative Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Genesis Health System (Genesis Health Group)
• Genesis Health System (Genesis Health Group)
• Genesis Health System (Genesis Health Group)
• Genesis Health System (Genesis Convenient Care)
• Genesis Health System (Genesis Occupational Health)
• Tara J Gengler, APN
• Genventures, Inc. (Genesis Firstmed Pharmacy)
• Genventures, Inc. (Genesis Home Medical Equipment)
• Maged Ghoprial, M.D
• Amita Ghosh, MD

• Family Medicine Physician in Moline, IL
• Providers in Moline, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.