NPIMap

Organization Active NPI

Genesis Primary Care Physicians LLC

  • Family Medicine Physician
  • Zanesville, OH
National Provider Identifier
1790061513
Registry record updated Oct 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
GENESIS PRIMARY CARE PHYSICIANS LLC
Practice address
860 Bethesda Dr
Zanesville, OH 43701-1800
Phone
(740) 454-4651
NPI assigned
Oct 25, 2011
Last updated
Oct 5, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2022

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

Authorized official

Name
Michael Norman
Title
Cfo
Phone
(740) 454-4773

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary
Internal Medicine Physician 207R00000X
Obstetrics & Gynecology Physician 207V00000X
Pediatrics Physician 208000000X
Urology Physician 208800000X

Addresses

Primary practice location

860 Bethesda Dr
Zanesville, OH 43701-1800

Mailing address

860 Bethesda Dr
Zanesville, OH 43701-1800
Phone (740) 454-4651

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120202000451 OH Part B Supplier - Clinic/Group Practice 5294992293 Receives reassigned benefits from 46 practitioners
Practice locations: Zanesville, OH; Junction City, OH; Somerset, OH; Shawnee, OH; New Lexington, OH; New Concord, OH; McConnelsville, OH; Dresden, OH…

National Provider Directory

National Provider Directory

Locations

23599 Airport Rd
Coshocton, OH 43812

23599 Airport Rd
Ste A
Coshocton, OH 43812
Phone (740) 722-9510

101 W Dave Longaberger Ave
Ste F
Dresden, OH 43821
Phone (740) 754-1432

506 E Main St
Ste A
Junction City, OH 43748
Phone (740) 450-6144

1 E Main St
Ste 220B
New Concord, OH 43762

1 E Main St
Ste A
New Concord, OH 43762

1 E Main St
Ste Ab
New Concord, OH 43762

1 E Main St
Ste B
New Concord, OH 43762

1210 Ashland Ave
Zanesville, OH 43701
Phone (740) 452-1905

4063 Northpointe Dr
#B
Zanesville, OH 43701
Phone (740) 452-3725

751 Forest Ave
Ste 401
Zanesville, OH 43701
Phone (740) 454-8502

945 Bethesda Dr
Ste 130
Zanesville, OH 43701
Phone (614) 454-9779

945 Bethesda Dr
Ste 200
Zanesville, OH 43701
Phone (740) 454-4788

950 Bethesda Dr
Ste 2
Zanesville, OH 43701

975 Bethesda Dr
Ste 7
Zanesville, OH 43701

Practitioners & affiliated clinicians

Practitioners 77

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.

View all 77

NPI Registry JSON

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

{
    "created_epoch": "1319500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664928000000",
    "number": "1790061513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "860 BETHESDA DR",
            "city": "ZANESVILLE",
            "state": "OH",
            "postal_code": "437011800",
            "telephone_number": "740-454-4651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "860 BETHESDA DR",
            "city": "ZANESVILLE",
            "state": "OH",
            "postal_code": "437011800",
            "telephone_number": "740-454-4651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS PRIMARY CARE PHYSICIANS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-25",
        "last_updated": "2022-10-05",
        "certification_date": "2022-10-05",
        "status": "A",
        "authorized_official_last_name": "NORMAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "740-454-4773"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Zanesville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2022; 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.