Organization
GENESIS ELDERCARE PHYSICIAN SERVICES LLC
Active
Organization
GENESIS ELDERCARE PHYSICIAN SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC SHAPIRO (VICE PRESIDENT)
(410) 832-7790
Entity
Organization
Contact information
Practice address
1785 S HAYES ST, ARLINGTON, VA 22202
(703) 920-5700
(410) 543-8492
Mailing address
PO BOX 62946, BALTIMORE, MD 21264-2946
(410) 494-7607
(610) 925-7387
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
207RP1001X
Pulmonary Disease Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036556400
—
DE
05
—
999320700
—
MD
01
—
B018
BCBS OF NATIONAL CAPITOL
DC
01
—
KQ54GE
BCBS OF MARYLAND GP #
MH
Enumeration date
06/24/2006
Last updated
08/05/2019
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up