GENESIS HEALTHCARE – NPI #1790246627
Radiology

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Health Care Provider Taxonomy Code for Radiology

GENESIS HEALTHCARE is a radiologist located in DEARBORN HEIGHTS, MI. NPPES has assigned the NPI number 1790246627 to GENESIS HEALTHCARE on March 25, 2019. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 2085R0202X from the Health Care Provider Taxonomy code set, which is classified as Radiology, specializing in Diagnostic Radiology

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 HEALTHCARE below.

NPI Profile for
GENESIS HEALTHCARE

NPI Number
1790246627
Enumeration Date

(more than 7 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 HEALTHCARE
Primary location
8560 N SILVERY LN STE 101
DEARBORN HEIGHTS, MI 48127-4516
Phone: (313) 636-2290 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
EDRICK FERGUSON
OWNER
Phone: (313) 636-2290
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
2085R0202X
- Radiology / Diagnostic Radiology (Primary)

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.