Abraham Genack, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

MD15879 Issued in OR

Practice address

1211 Park Street
Ashland, OR 97520

Phone

(541) 488-3342

Fax

(530) 233-5311

NPI assigned

Oct 19, 2006

Sex

Male

Sole proprietor

Yes

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Asante Community Services LLC

  • Home Infusion Agency
  • Medford, OR
  • NPI 1497821052
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 11, 2014.

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397174400000",
    "number": "1992887152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211 PARK STREET",
            "city": "ASHLAND",
            "state": "OR",
            "postal_code": "97520",
            "telephone_number": "541-488-3342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 PARK STREET",
            "city": "ASHLAND",
            "state": "OR",
            "postal_code": "97520",
            "telephone_number": "541-488-3342",
            "fax_number": "530-233-5311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GENACK",
        "first_name": "ABRAHAM",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-19",
        "last_updated": "2014-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OR",
            "license": "MD15879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cindy Michelle Garboden, RN, BSN
• Jose Luis Garcia-Gomez, M.A., MS
• Sara Garrett, LMT
• Kelly A Gaudin, LMT
• Bonnie Rose Geiger, PH.D.
• George Lescher Physical Therapy LLC
• Julie Marie George
• Mehdi Lee Ghavam, D.M.D.
• Paul W Giancarlo
• Tristan Giannini

• All providers in Ashland, OR
• Psychiatry Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2014; 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.