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
1	207R00000X	Internal Medicine Physician
2	207Q00000X	Family Medicine Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	782927	OTHER		HIGHMARK BLUE SHIELD

General Provider Information

NPI Number	:	1942350996
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	:	213 EXECUTIVE DR STE 200
Second Line	:
City	:	CRANBERRY TWP
State	:	PA
Zip	:	16066-6405
Country	:	US
Telephone Number	:	724-741-0044
Fax Number	:	724-741-0040

Authorized Official
Title or Position	:	CFO
Name	:	RICHARD STEVENSON
Credential	:
Telephone Number	:	412-369-9550

Provider Enumeration Date	:	01/11/2007
Last Update Date	:	01/19/2024

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