Genesis ASC Partners LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

336817 Issued in MI

Legal business name

GENESIS ASC PARTNERS LLC

Practice address

3400 E Jolly Rd
Lansing, MI 48910-8542

Phone

(517) 708-3200

Fax

(517) 272-1685

NPI assigned

Oct 6, 2006

Organization subpart

No

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

Authorized official

Name

Jenetha D Moran

Title

Authorized Official

Phone

(972) 763-3893

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Listed as

Genesis ASC Partners LLC Dba Genesis Surgery CenterCCN 23C0001031

Medicare certification status

ActiveFrom the Provider of Services file

Member of 3

Organizations this organization is a member of, according to the National Provider Directory.

• McLaren Greater Lansing

  • Cardiovascular Disease Physician
  • Okemos, MI
  • NPI 1336491232

  Member Of

  NPD member
• Baylor University Medical Center

  • General Acute Care Hospital
  • Dallas, TX
  • NPI 1447250253

  Member Of

  NPD member
• VHS San Antonio Partners LLC

  • Psychiatric Hospital Unit
  • San Antonio, TX
  • NPI 1487633509

  Member Of

  NPD member

Practitioners 2

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

• Rafid H Yousif, M.D.

  • Urology Physician
  • East Lansing, MI
  • NPI 1417042698
  NPD
• Gregory Glenn Messenger, M.D.

  • Dermatology Physician
  • Lansing, MI
  • NPI 1851340012
  NPD (past)

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521676800000",
    "number": "1942397344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 E JOLLY RD",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489108542",
            "telephone_number": "517-708-3200",
            "fax_number": "517-272-1685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 E JOLLY RD",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489108542",
            "telephone_number": "517-708-3200",
            "fax_number": "517-272-1685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS ASC PARTNERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-06",
        "last_updated": "2018-03-22",
        "status": "A",
        "authorized_official_last_name": "MORAN",
        "authorized_official_first_name": "JENETHA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "972-763-3893"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "MI",
            "license": "336817",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CARE NETWORK",
            "identifier": "40021",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF MICHIGAN",
            "identifier": "40021",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2261985",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00684067",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rani Issa Gebara, D.O.
• Courtney Brooke Geisel, ATC
• Dana Gelsomino
• Felicitas Llanes Gemora, CHW
• General Dentistry of Michigan 1 PLLC
• Genesis Diagnostic Center Inc
• Genesis Group Practice PLLC
• Genesis Home Healthcare Providers, LLC
• Genesis Surgery Center
• Genesis Testing and Therapy

• Ambulatory Surgical Clinic/Center in Lansing, MI
• Providers in Lansing, MI by specialty
• Ambulatory Surgical Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.