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GENESIS ELDERCARE PHYSICIAN SERVICES I LLC
NPI 1104061696
Internal Medicine in Fredericksburg, VA

Active since December 11, 2008
11 DAIRY LN, FREDERICKSBURG, VA 22405(540) 371-9414 Get Directions Write a Review

NPPES record last updated: December 12, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Genesis Eldercare Physician Services I Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GENESIS ELDERCARE PHYSICIAN SERVICES I LLC (NPI 1104061696) is a healthcare organization registered as an internal medicine in Fredericksburg, Virginia and active in the NPI registry since December 2008. The organization lists Catherine M Tregoe, Director Of Business Operations, as its authorized official.

NPPES Registry Identity

NPI1104061696
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameGENESIS ELDERCARE PHYSICIAN SERVICES I LLC
Location Address11 DAIRY LNFredericksburg, VA 22405-2663
Mailing Address801 N Salisbury Blvd, Suite 201Salisbury, MD 21801-3624 · (410) 543-1957
Phone(540) 371-9414
Organization SubpartNo
Authorized OfficialCatherine M TregoeDirector Of Business Operations · (410) 543-8870
Enumeration DateDecember 11, 2008
Last NPPES UpdateDecember 12, 2008
✔ NPI 1104061696 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X
11 DAIRY LN, Fredericksburg, VA 22405
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ELIZABETH ROSE CRONIN LPTA
Physical Therapy Assistant
11 DAIRY LN
FREDERICKSBURG, VA 22405
Stafford County (540) 371-9414
MRS. PATRICIA JEAN MIKULA PTA
Physical Therapy Assistant
11 DAIRY LN
FREDERICKSBRG, VA 22405
Stafford County (540) 371-9414
GENESIS ELDERCARE NATIONAL CENTERS, INC.
Skilled Nursing Facility
11 DAIRY LN
FREDERICKSBURG, VA 22405
Stafford County (540) 371-9414
JULIA ELIZABETH RENEE RUIZ
Occupational Therapy Assistant
11 DAIRY LN
FREDERICKSBURG, VA 22405
Stafford County (540) 371-9414
KATELYN KING
Occupational Therapy Assistant
11 DAIRY LN
FREDERICKSBURG, VA 22405
Stafford County (540) 371-9414
MS. EILEEN JOHNSON HUME OTR
Occupational Therapist
11 DAIRY LN
FREDERICKSBURG, VA 22405
Stafford County (540) 371-9414
DAISY CHEEKS M.S.O.T.R/L
Occupational Therapist
11 DAIRY LN
FREDERICKSBURG, VA 22405
Stafford County (540) 371-9414
DR. VICTORIA BANNER VICE PT, DPT
Physical Therapist
11 DAIRY LN
FREDERICKSBURG, VA 22405
Stafford County (540) 371-9414

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Genesis Eldercare Physician Services I LLC's NPI number?

The NPI number for Genesis Eldercare Physician Services I LLC is 1104061696. It was assigned to this organization in the NPPES registry on December 11, 2008.

Where is Genesis Eldercare Physician Services I LLC located?

Genesis Eldercare Physician Services I LLC is located at 11 Dairy Ln, Fredericksburg, VA 22405. The listed phone number is (540) 371-9414.

What is Genesis Eldercare Physician Services I LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Genesis Eldercare Physician Services I LLC was last updated on December 12, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.