GENESIS OBSTETRICS AND GYNECOLOGY PLLC – NPI #1972713055
Obstetrics & Gynecology

A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions.

GENESIS OBSTETRICS AND GYNECOLOGY PLLC is a provider located in TACOMA, WA. NPPES has assigned the NPI number 1972713055 to GENESIS OBSTETRICS AND GYNECOLOGY PLLC on May 23, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207VG0400X from the Health Care Provider Taxonomy code set, which is classified as Obstetrics & Gynecology, specializing in Gynecology

The NPI profile was previously updated about 6 years ago on Aug 22, 2020. 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 OBSTETRICS AND GYNECOLOGY PLLC below.

NPI Profile for
GENESIS OBSTETRICS AND GYNECOLOGY PLLC

NPI Number
1972713055
Enumeration Date

(more than 19 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 OBSTETRICS AND GYNECOLOGY PLLC
Primary location
314 MARTIN LUTHER KING JR WAY
SUITE 401
TACOMA, WA 98405-4250
Phone: (253) 460-7777 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
JOHNETTE MAEHREN
OWNER
Phone: (253) 460-7777
Updated
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
207VG0400X
- Obstetrics & Gynecology / Gynecology (Primary)
WA OP00001459

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.