Organization Active NPI

Genesis Family Health Center, PLC

  • Family Medicine Physician
  • Saint Joseph, MI
National Provider Identifier
1881786085
Registry record updated Jan 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
GENESIS FAMILY HEALTH CENTER, PLC
Practice address
3916 Stonegate Park
Saint Joseph, MI 49085-9144
Phone
(269) 428-8000
Fax
(269) 428-2700
NPI assigned
Sep 28, 2006
Last updated
Jan 13, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2011

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

Authorized official

Name
Alan Smiy, MD
Title
Owner
Phone
(269) 428-8000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

3916 Stonegate Park
Saint Joseph, MI 49085-9144

Mailing address

1701 Lake Lansing Rd
Suite 100
Lansing, MI 48912-3798
Phone (517) 485-0001

National Provider Directory

National Provider Directory

Locations

3916 Stonegate Park
Saint Joseph, MI 49085
Phone (269) 428-8000

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294876800000",
    "number": "1881786085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 LAKE LANSING RD",
            "address_2": "SUITE 100",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489123798",
            "telephone_number": "517-485-0001",
            "fax_number": "517-485-1138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3916 STONEGATE PARK",
            "city": "SAINT JOSEPH",
            "state": "MI",
            "postal_code": "490859144",
            "telephone_number": "269-428-8000",
            "fax_number": "269-428-2700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS FAMILY HEALTH CENTER, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-28",
        "last_updated": "2011-01-13",
        "status": "A",
        "authorized_official_last_name": "SMIY",
        "authorized_official_first_name": "ALAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "269-428-8000",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Joseph, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2011; 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.