Genesis Healthcare

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

GENESIS HEALTHCARE

Practice address

8560 N Silvery LN Ste 101
Dearborn Heights, MI 48127-4516

Phone

(313) 636-2290

NPI assigned

Mar 25, 2019

Last updated

Mar 25, 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

Edrick Ferguson

Title

Owner

Phone

(313) 636-2290

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1553472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553472000000",
    "number": "1790246627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8560 N SILVERY LN STE 101",
            "city": "DEARBORN HEIGHTS",
            "state": "MI",
            "postal_code": "481274516",
            "telephone_number": "313-636-2290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8560 N SILVERY LN STE 101",
            "city": "DEARBORN HEIGHTS",
            "state": "MI",
            "postal_code": "481274516",
            "telephone_number": "313-636-2290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-25",
        "last_updated": "2019-03-25",
        "status": "A",
        "authorized_official_last_name": "FERGUSON",
        "authorized_official_first_name": "EDRICK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-636-2290"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Spring Angel Gardner
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• Gary Gazella, MD
• Dania Gelan
• Genesis MD Diagnostic Imaging PC
• Genesis MD, PLLC
• Gentle Care Dental
• Genuine Home Care
• Get Well Urgent Care Dearborn Heights PLC

• Diagnostic Radiology Physician in Dearborn Heights, MI
• Providers in Dearborn Heights, MI by specialty
• Diagnostic Radiology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 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.