Genesys Integrated Group Practice PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

GENESYS INTEGRATED GROUP PRACTICE PC

Practice address

1096 S Belsay Rd
Suite C
Burton, MI 48509-1948

Phone

(810) 743-3351

Fax

(810) 244-1239

NPI assigned

Apr 20, 2007

Organization subpart

No

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

Authorized official

Name

Paul Garson

Title

Chief Fianancial Officer

Phone

(810) 424-2136

Specialties & licenses 2

Addresses

Other identifiers 4

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

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539907200000",
    "number": "1831317536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3495 S CENTER RD",
            "city": "BURTON",
            "state": "MI",
            "postal_code": "485191455",
            "telephone_number": "810-424-2007",
            "fax_number": "810-743-1099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1096 S BELSAY RD",
            "address_2": "SUITE C",
            "city": "BURTON",
            "state": "MI",
            "postal_code": "485091948",
            "telephone_number": "810-743-3351",
            "fax_number": "810-244-1239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESYS INTEGRATED GROUP PRACTICE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-20",
        "last_updated": "2018-10-19",
        "status": "A",
        "authorized_official_last_name": "GARSON",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "CHIEF FIANANCIAL OFFICER",
        "authorized_official_telephone_number": "810-424-2136"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "MI",
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH ALLIANCE PLAN",
            "identifier": "0M23560B",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CARE NETWORK",
            "identifier": "700B551760",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "M-CARE PIN",
            "identifier": "UC250004",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHPLUS OF MICHIGAN",
            "identifier": "2428253",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Genesys Ambulatory Health Services
• Genesys Ambulatory Health Services, Inc.
• Genesys Integrated Group Practice PC
• Genesys Integrated Group Practice PC
• Genesys Integrated Group Practice PC
• Genesys Integrated Group Practice PC
• Genesys Pho LLC
• Genesys Practice Partners, Inc
• Ray George
• Rosana Shalon Gibson

• All providers in Burton, MI
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2018; 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.