Genesiscare USA of Alabama LLC

Primary specialty

Radiation Oncology PhysicianTaxonomy code 2085R0001X

Legal business name

GENESISCARE USA OF ALABAMA LLC

Practice address

4274 W Main St
Dothan, AL 36305-1062

Phone

(334) 793-2312

Fax

(334) 671-0484

NPI assigned

Sep 15, 2007

Organization subpart

No

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

Authorized official

Name

Shaden Marzouk

Title

President

Phone

(239) 931-7254

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Practitioners 4

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

• Hejal C Patel, M.D.

  • Radiation Oncology Physician
  • Dothan, AL
  • NPI 1174746168
  Medicare reassignment NPD
• Ali Danielle Loflin, CRNP

  • Family Nurse Practitioner
  • Dothan, AL
  • NPI 1801494661
  Medicare reassignment
• Kenyon M. Meadows, MD

  • Radiation Oncology Physician
  • Dothan, AL
  • NPI 1891726451
  NPD (past)
• Philip Vance Sharp, M.D.

  • Radiation Oncology Physician
  • Tallahassee, FL
  • NPI 1023078300
  NPD (past)

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

{
    "created_epoch": "1189814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695600000000",
    "number": "1831385632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1419 SE 8TH TER STE 200",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339903213",
            "telephone_number": "239-931-7342",
            "fax_number": "239-931-7385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4274 W MAIN ST",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363051062",
            "telephone_number": "334-793-2312",
            "fax_number": "334-671-0484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESISCARE USA OF ALABAMA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-15",
        "last_updated": "2023-09-25",
        "certification_date": "2023-09-25",
        "status": "A",
        "authorized_official_last_name": "MARZOUK",
        "authorized_official_first_name": "SHADEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "239-931-7254"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Radiation Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiffany General, M.D
• Generic Pharmacy
• Generic Pharmacy-Dothan LLC
• Genesis Counseling Services, LLC
• Genesis Fitness, LLC
• Genoa Healthcare LLC
• Gentle Loving Care Health Services LLC
• Jewell George, MD
• Tiffany Gerber, PA-C
• Vanessa Villalobos German, RBT

• Radiation Oncology Physician in Dothan, AL
• Providers in Dothan, AL by specialty
• Radiation Oncology Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2023; 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.