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NPI Code Detail

MEDICARE: GENESIS MEDICAL ASSOCIATES, INC

MEDICARE: GENESIS MEDICAL ASSOCIATES, INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician
2207Q00000XFamily Medicine Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1701304OTHERHIGHMARK BLUE SHIELD
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1922150291
Entity Type Code : Organization
Provider Name (Legal Business Name) : GENESIS MEDICAL ASSOCIATES, INC
Provider Business Mailing Address
First Line : 8150 PERRY HWY STE 201
Second Line :
City : PITTSBURGH
State : PA
Zip : 15237-5200
Country : US
Telephone Number : 412-369-9550
Fax Number : 412-369-9566
Provider Business Practice Location Address
First Line : 3601 MCKNIGHT EAST DR
Second Line :
City : PITTSBURGH
State : PA
Zip : 15237-6400
Country : US
Telephone Number : 412-369-9943
Fax Number : 412-369-9447
Authorized Official
Title or Position : CFO
Name : RICHARD STEVENSON
Credential :
Telephone Number : 412-369-9550
Provider Enumeration Date : 01/17/2007
Last Update Date : 01/19/2024

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Directions to “GENESIS MEDICAL ASSOCIATES, INC ” Practice Location

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