Organization Active NPI

Genise Kerner MD PC

  • Primary Care Clinic/Center
  • Livonia, MI
National Provider Identifier
1972006047
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
4301045002 Issued in MI
Legal business name
GENISE KERNER MD PC
Practice address
37675 Pembrooke Ave
Livonia, MI 48152
Phone
(734) 779-1000
NPI assigned
Mar 14, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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

Authorized official

Name
Dr. Genise Kerner, MDNPI 1376512863
Title
Physician/Manager
Phone
(248) 836-8129

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 4301045002 MI Primary

Addresses

Primary practice location

37675 Pembrooke Ave
Livonia, MI 48152

Mailing address

7969 Farrant St
Commerce Township, MI 48382-2320
Phone (248) 836-8129

Other identifiers 1

IdentifierTypeStateIssuer
1376512863OtherMIINT MED

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/17748/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1520985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1972006047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7969 FARRANT ST",
            "city": "COMMERCE TOWNSHIP",
            "state": "MI",
            "postal_code": "483822320",
            "telephone_number": "248-836-8129",
            "fax_number": "734-779-1001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37675 PEMBROOKE AVE",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "48152",
            "telephone_number": "734-779-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENISE KERNER MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-14",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "KERNER",
        "authorized_official_first_name": "GENISE",
        "authorized_official_title_or_position": "PHYSICIAN/MANAGER",
        "authorized_official_telephone_number": "248-836-8129",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "MI",
            "license": "4301045002",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INT MED",
            "identifier": "1376512863",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Livonia, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.