Genesis Eldercare Physician Services LLC

Primary specialty

Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X

Legal business name

GENESIS ELDERCARE PHYSICIAN SERVICES LLC

Practice address

2400 Continental Dr
Butte, MT 59701

Phone

(406) 723-6556

NPI assigned

Oct 1, 2014

Last updated

Aug 5, 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

Eric Shapiro

Title

Vice President

Phone

(410) 832-7790

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1412121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564963200000",
    "number": "1861895054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 62946",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212642946",
            "telephone_number": "410-494-7607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 CONTINENTAL DR",
            "city": "BUTTE",
            "state": "MT",
            "postal_code": "59701",
            "telephone_number": "406-723-6556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS ELDERCARE PHYSICIAN SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-01",
        "last_updated": "2019-08-05",
        "status": "A",
        "authorized_official_last_name": "SHAPIRO",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "410-832-7790"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah W Gallagher, R.D.
• Karen Galvin, LCPC
• Heidi Garwood
• Andree Patricia Gasper Wock, LCSW
• Mary Geiger, LCPC
• Donna C. Gettle -Briggs, LCPC
• Julie Giacomini, LPN
• Danielle Marie Giacomino, LAC
• Tara Elizabeth Gilbreath, DDS
• Jennifer Gilliard, PH.D.

• Geriatric Medicine (Internal Medicine) Physician in Butte, MT
• Providers in Butte, MT by specialty
• Geriatric Medicine (Internal Medicine) Physician in Montana

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