Martha Ellen Genig

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

4704111736 Issued in MI

Practice address

7804 Allen Rd
Allen Park, MI 48101-1702

Phone

(313) 388-0033

Fax

(313) 388-1188

NPI assigned

Jun 7, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: martha.genig.1@23214.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Primary Care Center PLLC

  • Family Medicine Physician
  • Dearborn Heights, MI
  • NPI 1780292623
  Medicare reassignment NPD
• Care Well Medical Center PLLC

  • Family Medicine Physician
  • Dearborn Heights, MI
  • NPI 1851107429
  NPD (past)

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

{
    "created_epoch": "1181174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208131200000",
    "number": "1902009822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7804 ALLEN RD",
            "city": "ALLEN PARK",
            "state": "MI",
            "postal_code": "481011702",
            "telephone_number": "313-388-0033",
            "fax_number": "313-388-1188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7804 ALLEN RD",
            "city": "ALLEN PARK",
            "state": "MI",
            "postal_code": "481011702",
            "telephone_number": "313-388-0033",
            "fax_number": "313-388-1188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GENIG",
        "first_name": "MARTHA",
        "middle_name": "ELLEN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-07",
        "last_updated": "2008-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4704111736",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Garrett, PA-C
• Kristie Marie Gasiorek, OTR
• Louis Joseph Gaty IV
• Joseph Gayatao, PT
• Erica Renee Geml, DC
• Elias G Gennaoui, MD
• Bruno Gervasi, DPT
• Get a Life Therapy, LLC
• Hiral Paresh Gheewala
• Tiffany Gibson

• Internal Medicine Physician in Allen Park, MI
• Providers in Allen Park, MI by specialty
• Internal Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.