GENESISCARE USA OF FLORIDA LLC – NPI #1316981194
Obstetrics & Gynecology

An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications.

GENESISCARE USA OF FLORIDA LLC is a provider located in FORT MYERS, FL. NPPES has assigned the NPI number 1316981194 to GENESISCARE USA OF FLORIDA LLC on June 15, 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 207VX0201X from the Health Care Provider Taxonomy code set, which is classified as Obstetrics & Gynecology, specializing in Gynecologic Oncology

The NPI profile was last updated on Nov 03, 2025. 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 GENESISCARE USA OF FLORIDA LLC below.

NPI Profile for
GENESISCARE USA OF FLORIDA LLC

NPI Number
1316981194
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
GENESISCARE USA OF FLORIDA LLC
Primary location
8931 COLONIAL CENTER DR STE 400
FORT MYERS, FL 33905-7809
Phone: (239) 334-6626 Fax: (239) 334-0404
Mailing address
1419 SE 8TH TER STE 200
CAPE CORAL, FL 33990-3213
Phone: (239) 931-7342 Fax: (239) 931-7385
Organization Subpart
Yes - GENESISCARE USA OF FLORIDA LLC is subpart of another organization.
Authorized Official
IAN WONG
CFO
Phone: (303) 249-7486
Updated
Certification Date
Nov 03, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for GENESISCARE USA OF FLORIDA 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
otherRAILROAD MEDICAREFLCE7138
medicaidFL060239613
medicaidFL060239618
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
207VX0201X
- Obstetrics & Gynecology / Gynecologic Oncology (Primary)
2085R0203X
- Radiology / Radiation Oncology

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.