# GENESIS MEDICAL ASSOCIATES INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Primary Care Associates/Genesis Medical Associates
- **Organization subpart:** No

## Provider details

- **NPI number:** 1962118505
- **Authorized official:** RICHARD STEVENSON (CFO)
- **Authorized official phone:** (412) 369-9550

## Contact information

- **Practice address:** 480 E JEFFERSON ST, BUTLER, PA 16001-4780
- **Practice address phone:** (724) 282-1530
- **Practice address fax:** (724) 282-1451
- **Mailing address:** 8150 PERRY HWY STE 201, PITTSBURGH, PA 15237-5200
- **Mailing address phone:** (412) 369-9550
- **Mailing address fax:** (412) 369-9566

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 207RH0002X | Hospice and Palliative Medicine (Internal Medicine) Physician | — | NULL | — |
| 207RH0002X | Hospice and Palliative Medicine (Internal Medicine) Physician | — | — | — |
| 208000000X | Pediatrics Physician | — | NULL | — |
| 208000000X | Pediatrics Physician | — | — | — |

## Other

- **Enumeration date:** 01/26/2023
- **Last updated:** 01/19/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 001517153-0046 | — | PA |
| 01 | — | 5106209 | BLUE SHIELD | PA |