Genesis Physician Associates LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

GENESIS PHYSICIAN ASSOCIATES LLC

Practice address

9201 Montgomery Blvd NE Ste 301
Albuquerque, NM 87111-2467

Phone

(505) 503-8714

Fax

(505) 503-8783

NPI assigned

Jun 11, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Uche N Obisike, MDNPI 1265465884

Title

Ceo

Phone

(505) 801-7137

Specialties & licenses 1

Addresses

Other names 1

• Internal Medicine and Geriatric Associates Doing business as

Medicare fee-for-service enrollment

Enrolled in NM

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Genesis Physician Associates LLC

  • Internal Medicine Physician
  • Farmington, NM
  • NPI 1740569763

  O20111116000323

  Same enrollment

Locations

Practitioners 5

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

• Uche N Obisike, MD

  • Internal Medicine Physician
  • Rio Rancho, NM
  • NPI 1265465884
  NPD Authorized official
• Clarissa Silva, FNP-BC

  • Family Nurse Practitioner
  • Rio Rancho, NM
  • NPI 1124724646
  NPD
• Helen V. Fragua, PA-C,MSN

  • Medical Physician Assistant
  • Rio Rancho, NM
  • NPI 1437446374
  NPD (past)
• Christopher C Merchant, MD ABFP PC

  • Adult Medicine Physician
  • Albuquerque, NM
  • NPI 1386739217
  NPD (past)
• Kimberley B. Oldewage, PA-C

  • Physician Assistant
  • Rio Rancho, NM
  • NPI 1003183187
  NPD (past)

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

{
    "created_epoch": "1560211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1902465263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9516 ANDESITE DR NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871143010",
            "telephone_number": "505-801-7137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9201 MONTGOMERY BLVD NE STE 301",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871112467",
            "telephone_number": "505-503-8714",
            "fax_number": "505-503-8783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS PHYSICIAN ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-11",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "OBISIKE",
        "authorized_official_first_name": "UCHE",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "505-801-7137",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Internal Medicine and Geriatric Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Theodore B Gellert, PA-C
• Generational Solutions Culture LLC
• Genesis Eldercare Physician Services LLC
• Genesis Healthcare
• Genesis Home Health Care LLC
• Genesis Rehab Services
• Anna Gennari, LMSW
• Genoa Healthcare LLC
• Genoa Healthcare LLC
• Genoa Healthcare LLC

• Internal Medicine Physician in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Internal Medicine Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.