Organization Active NPI

Genesee Infectious Diseases, PLC

  • Infectious Disease Physician
  • Flint, MI
National Provider Identifier
1982709374
Registry record updated Oct 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
5101008932 Issued in MI
Legal business name
GENESEE INFECTIOUS DISEASES, PLC
Practice address
6060 Torrey Rd
Suite I
Flint, MI 48507-5963
Phone
(810) 655-0027
Fax
(810) 655-0093
NPI assigned
Sep 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2015

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

Authorized official

Name
Carlos Lewis, D.O.
Title
Owner
Phone
(810) 655-0027

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RI0200X 5101008932 MI Primary

Addresses

Primary practice location

6060 Torrey Rd
Suite I
Flint, MI 48507-5963

Mailing address

6060 Torrey Rd
Suite I
Flint, MI 48507-5963
Phone (810) 655-0027

Other identifiers 1

IdentifierTypeStateIssuer
4760909MedicaidMI

Other names 1

  • Genesee Infectious Diseases & Travel Medicine Center, PLC Former legal business name

National Provider Directory

National Provider Directory

Locations

6060 Torrey Rd
Ste I
Flint, MI 48507
Phone (810) 655-0027

NPI Registry JSON

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446163200000",
    "number": "1982709374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6060 TORREY RD",
            "address_2": "SUITE I",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485075963",
            "telephone_number": "810-655-0027",
            "fax_number": "810-655-0093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6060 TORREY RD",
            "address_2": "SUITE I",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485075963",
            "telephone_number": "810-655-0027",
            "fax_number": "810-655-0093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESEE INFECTIOUS DISEASES, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-13",
        "last_updated": "2015-10-30",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "810-655-0027",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "MI",
            "license": "5101008932",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4760909",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Genesee Infectious Diseases & Travel Medicine Center, PLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Flint, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2015; 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.