Berks Genesis Family Medicine PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

BERKS GENESIS FAMILY MEDICINE PC

Practice address

1555 Schuylkill Ave
Reading, PA 19601-1312

Phone

(610) 378-0107

Fax

(610) 378-7984

NPI assigned

Aug 19, 2005

Organization subpart

No

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

Authorized official

Name

Mrs. Margaret G Flores-Posadas, MDNPI 1457437931

Title

President

Phone

(610) 378-0107

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Genesis Primary Care PC Former legal business name

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Margaret G Flores-Posadas, MD

  • Family Medicine Physician
  • Reading, PA
  • NPI 1457437931
  Medicare reassignment NPD Authorized official
• Katrina Marie De Vries, CRNP

  • Family Medicine Physician
  • Reading, PA
  • NPI 1477249316
  Medicare reassignment NPD
• Josiah Phillip Baker, PA-C

  • Orthopaedic Surgery Physician
  • Lancaster, PA
  • NPI 1336742717
  Medicare reassignment
• Richard Daniel Boone, PA-C

  • Physician Assistant
  • East Norriton, PA
  • NPI 1942256854
  Medicare reassignment
• Nicanor G Granados, M.D.

  • Family Medicine Physician
  • Reading, PA
  • NPI 1639178353
  NPD (past)
• Trina Johnson, DO

  • Family Medicine Physician
  • Du Bois, PA
  • NPI 1154512762
  NPD (past)

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

{
    "created_epoch": "1124409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423785600000",
    "number": "1811989304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1555 SCHUYLKILL AVE",
            "city": "READING",
            "state": "PA",
            "postal_code": "196011312",
            "telephone_number": "610-378-0107",
            "fax_number": "610-378-7984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1555 SCHUYLKILL AVE",
            "city": "READING",
            "state": "PA",
            "postal_code": "196011312",
            "telephone_number": "610-378-0107",
            "fax_number": "610-378-7984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERKS GENESIS FAMILY MEDICINE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-19",
        "last_updated": "2015-02-13",
        "status": "A",
        "authorized_official_last_name": "FLORES-POSADAS",
        "authorized_official_first_name": "MARGARET",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "610-378-0107",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "167736",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Genesis Primary Care PC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Family Medicine Physician in Reading, PA
• Providers in Reading, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2015; 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.