GENESIS ELDERCARE PHYSICIAN SERVICES LLC – NPI #1477576304
Internal Medicine

An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.

GENESIS ELDERCARE PHYSICIAN SERVICES LLC is a provider located in RUTLAND, VT. NPPES has assigned the NPI number 1477576304 to GENESIS ELDERCARE PHYSICIAN SERVICES LLC on July 25, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207RG0300X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Geriatric Medicine

The NPI profile was previously updated about 7 years ago on Aug 05, 2019. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for GENESIS ELDERCARE PHYSICIAN SERVICES LLC below.

NPI Profile for
GENESIS ELDERCARE PHYSICIAN SERVICES LLC

NPI Number
1477576304
Enumeration Date

(about 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
GENESIS ELDERCARE PHYSICIAN SERVICES LLC
Primary location
9 HAYWOOD AVE
MOUNTAIN VIEW CENTER
RUTLAND, VT 05701
Phone: (802) 775-0007 Fax: (802) 775-6895
Mailing address
PO BOX 62946
BALTIMORE, MD 21264-2946
Phone: (410) 494-7607 Fax: (610) 925-7387
Organization Subpart
No
Authorized Official
ERIC SHAPIRO
VP, CONTROLLER
Phone: (410) 832-7790
Updated
Identifiers

Identifiers for GENESIS ELDERCARE PHYSICIAN SERVICES LLC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDVT1104819259
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RG0300X
- Internal Medicine / Geriatric Medicine (Primary)
363LG0600X
- Nurse Practitioner / Gerontology
VT 101-0019819
363LA2200X
- Nurse Practitioner / Adult Health
VT 101-0025776

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.