Individual
DR. GREGORY P GENOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5551 WINGHAVEN BLVD STE 250, O FALLON, MO 63368-3630
(636) 685-7724
(314) 590-5914
Mailing address
5551 WINGHAVEN BLVD, SUITE 132, O FALLON, MO 63368-3617
(636) 695-2520
(636) 695-2526
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MDR3C40
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110229354
RR MEDICARE
MO
01
—
P00254751
RR MEDICARE
MO
Enumeration date
09/22/2005
Last updated
08/25/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us