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Organization
GENESIS MEDICAL ASSOCIATES, INC.
Active
Organization
GENESIS MEDICAL ASSOCIATES, INC.
Active
Other names
Koman, Kimmell & Gabriel Family Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD STEVENSON (CFO)
(412) 369-9550
Entity
Organization
Contact information
Practice address
8150 PERRY HWY STE 101, PITTSBURGH, PA 15237-5232
(412) 364-2664
(412) 364-8037
Mailing address
8150 PERRY HWY STE 201, PITTSBURGH, PA 15237-5200
(412) 369-9550
(412) 369-9566
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001517153-0048
—
PA
01
—
070892
HIGHMARK BLUE SHIELD
—
Enumeration date
01/11/2007
Last updated
09/05/2025
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