Organization
GENESIS MEDICAL ASSOCIATES INC
Active
Other names
Primary Care Associates/Genesis Medical Associates
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD STEVENSON (CFO)
(412) 369-9550
Entity
Organization
Contact information
Practice address
480 E JEFFERSON ST, BUTLER, PA 16001-4780
(724) 282-1530
(724) 282-1451
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
—
—
207R00000X
Internal Medicine Physician
—
—
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
—
—
208000000X
Pediatrics Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001517153-0046
—
PA
01
—
5106209
BLUE SHIELD
PA
Enumeration date
01/26/2023
Last updated
01/19/2024
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