Genesis Health Fitness PLLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

GENESIS HEALTH FITNESS PLLC

Practice address

12155 Shadow Creek Pkwy Ste 114
Pearland, TX 77584-7289

Phone

(832) 263-7490

Fax

(888) 977-1299

NPI assigned

Dec 8, 2020

Organization subpart

No

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

Authorized official

Name

Roger Olade, MDNPI 1063417715

Title

Owner

Phone

(832) 263-7490

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Practitioners 2

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

• Roger B Olade, MD

  • Internal Medicine Physician
  • Pearland, TX
  • NPI 1063417715
  Medicare reassignment Authorized official
• Akshar Anup Patel, PT, DPT

  • Physical Therapist
  • Houston, TX
  • NPI 1396466751
  NPD (past)

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

{
    "created_epoch": "1607385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695600000000",
    "number": "1992301741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12155 SHADOW CREEK PKWY STE 114",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775847289",
            "telephone_number": "832-263-7490",
            "fax_number": "888-977-1299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12155 SHADOW CREEK PKWY STE 114",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775847289",
            "telephone_number": "832-263-7490",
            "fax_number": "888-977-1299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS HEALTH FITNESS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-08",
        "last_updated": "2023-09-25",
        "certification_date": "2023-09-25",
        "status": "A",
        "authorized_official_last_name": "OLADE",
        "authorized_official_first_name": "ROGER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "832-263-7490",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QE0002X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Emergency Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ECFMG",
            "identifier": "05853676",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Gabrielle Iris Marie George, OTD, OTR/L
• Jeemol George, FNP-C
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• Primary Care Clinic/Center in Pearland, TX
• Providers in Pearland, TX by specialty
• Primary Care Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2023; 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.