Genesiscare Landmark Imaging PC

Primary specialty

Physiological LaboratoryTaxonomy code 293D00000X

Legal business name

GENESISCARE LANDMARK IMAGING PC

Practice address

3300 Chandler Rd Ste 106
Muskogee, OK 74403-4909

Phone

(918) 686-7382

Fax

(918) 686-0554

NPI assigned

Mar 1, 2021

Last updated

Mar 15, 2021By 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

Jeffrey Triplette, MD

Title

President

Phone

(239) 931-7212

Specialties & licenses 1

Addresses

Tax ID family

Genesiscare Landmark Imaging PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Genesiscare Landmark Imaging PC

  • Physiological Laboratory
  • Oklahoma City, OK
  • NPI 1962015818
  NPD tax ID

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

{
    "created_epoch": "1614556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615766400000",
    "number": "1932793007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2270 COLONIAL BLVD",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339071412",
            "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": "3300 CHANDLER RD STE 106",
            "city": "MUSKOGEE",
            "state": "OK",
            "postal_code": "744034909",
            "telephone_number": "918-686-7382",
            "fax_number": "918-686-0554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESISCARE LANDMARK IMAGING PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-01",
        "last_updated": "2021-03-15",
        "certification_date": "2021-03-15",
        "status": "A",
        "authorized_official_last_name": "TRIPLETTE",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "239-931-7212",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hannah Elizabeth Gassaway, M.S. CCC-SLP
• Misty Dawn Gates, APRN-CNP
• Jerry Gatlin
• Rebecca Geiger, BHRS
• Mary Battoe Gellner, PA-C
• Madison Taylor George, PT
• Jesse Dewayne Geren, DO
• Brenda Kay Gerred
• Robert Harrison Gibbs Sr., M.D.
• Zach Gibson, BA

• Physiological Laboratory in Muskogee, OK
• Providers in Muskogee, OK by specialty
• Physiological Laboratory in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2021; 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.