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GENESISCARE USA OF FLORIDA LLC
NPI 1427677038
Surgery in Destin, FL

Active since April 14, 2020
36468 EMERALD COAST PKWY STE 11103, DESTIN, FL 32541(850) 660-5204(850) 660-5206 Get Directions Write a Review

NPPES record last updated: January 31, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 5, 2023, Jun 22, 2023, Jul 8, 2022 and 2 more (5 updates tracked since 2020).

About Genesiscare Usa Of Florida Llc NPPES

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

GENESISCARE USA OF FLORIDA LLC (NPI 1427677038), doing business as Thomas J. Shaknovsky, Do, is a healthcare organization registered as a surgery in Destin, Florida and active in the NPI registry since April 2020. The organization lists Shaden Marzouk, President, as its authorized official.

NPPES Registry Identity

NPI1427677038
Entity TypeOrganization
Primary Taxonomy208600000X
Legal Business NameGENESISCARE USA OF FLORIDA LLC
Location Address36468 EMERALD COAST PKWY STE 11103Destin, FL 32541-0741
Mailing Address1419 Se 8th Ter Ste 200Cape Coral, FL 33990-3213 · (239) 931-7342 · Fax (239) 931-7385
Phone(850) 660-5204
Fax(850) 660-5206
Organization SubpartYesParent: Genesiscare Usa Inc.
Authorized OfficialShaden MarzoukPresident · (239) 931-7254
Enumeration DateApril 14, 2020
Last NPPES UpdateJanuary 31, 20255 updates tracked since enumeration
NPPES CertifiedJanuary 31, 2025
✔ NPI 1427677038 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Also ListedColon & Rectal SurgeryTaxonomy 208C00000X
Also ListedGeneral PracticeTaxonomy 208D00000X
36468 EMERALD COAST PKWY STE 11103, Destin, FL 32541
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Other Names 1

Doing Business AsThomas J. Shaknovsky, Do

Group Practice 2

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP
Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare, Cigna HealthCare of Florida, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Genesiscare Usa Of Florida Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

282

Medicare enrollment records show 282 clinicians reassign Medicare billing to Genesiscare Usa Of Florida LLC, which bills Medicare for the services they deliver. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 19

Urology86
Nurse Practitioner56
Radiation Oncology53
Hematology/Oncology18
General Surgery17
Medical Oncology14
Otolaryngology7
Surgical Oncology5
11 other specialties26

Nearest to this location (20)

See all 282
William Haney, M.D.
General Surgery
NPI 1568400331
550 TWIN CITIES BLVD SUITE C
Niceville, FL 32578
(850) 678-6601
✔ PECOS✔ Accepts Medicare12 mi
Robert Hruby, M.D.
General Surgery
NPI 1679513410
550 TWIN CITIES BLVD. SUITE C
Niceville, FL 32578
(850) 678-6601
✔ PECOS✔ Accepts Medicare12 mi
Matthew Johnson, MD
General Surgery
NPI 1770607871
1026 MAR WALT DR
Fort Walton Beach, FL 32547
(850) 863-5294
✔ PECOS✔ Accepts Medicare15 mi
Warren Amos, MD
Radiation Oncology
NPI 1275537755
1026 MAR WALT DR
Fort Walton Beach, FL 32547
(850) 863-5294
✔ PECOS✔ Accepts Medicare15 mi
James Stevens, MD
Radiation Oncology
NPI 1467447565
1026 MAR WALT DR
Ft Walton Beach, FL 32547
(850) 863-5294
✔ PECOS✔ Accepts Medicare15 mi
Brian Center, M.D.
Radiation Oncology
NPI 1790908796
2100 STATE AVE
Panama City, FL 32405
(850) 763-0036
✔ PECOS✔ Accepts Medicare46 mi
Edward Becker, M.D.
Urology
NPI 1194703223
3347 STATE ROAD 7 SUITE 101
Wellington, FL 33449
(561) 790-2111
✔ PECOS✔ Accepts Medicare47 mi
Rafael Lopez, M.D.
Urology
NPI 1124006358
3347 STATE ROAD 7 SUITE 101
Wellington, FL 33449
(561) 790-2111
✔ PECOS✔ Accepts Medicare47 mi
Fred Muhletaler Maggiolo, M.D.
Urology
NPI 1588875678
3347 STATE ROAD 7 SUITE 101
Wellington, FL 33449
(561) 790-2111
✔ PECOS✔ Accepts Medicare47 mi
Georgis Patsias, MD
Urology
NPI 1942285390
3347 STATE ROAD 7 SUITE 101
Wellington, FL 33449
(561) 790-2111
✔ PECOS✔ Accepts Medicare47 mi
Damian Portela, M.D.
Urology
NPI 1194703330
3347 STATE ROAD 7 SUITE 101
Wellington, FL 33449
(561) 790-2111
✔ PECOS✔ Accepts Medicare47 mi
Sean Sawh, MD
Urology
NPI 1154593689
3347 STATE ROAD 7 SUITE 101
Wellington, FL 33449
(561) 790-2111
✔ PECOS✔ Accepts Medicare47 mi
Kishore Dass, M.D.
Radiation Oncology
NPI 1245229533
3343 STATE ROAD 7
Wellington, FL 33449
(561) 795-9845
✔ PECOS✔ Accepts Medicare47 mi
Alicia Gittleman, M.D.
Radiation Oncology
NPI 1295926277
3343 STATE ROAD 7
Wellington, FL 33449
(561) 795-9845
✔ PECOS✔ Accepts Medicare47 mi
Sandra Sanchez, D.O.
General Surgery
NPI 1740287846
3343 STATE ROAD 7
Wellington, FL 33449
(561) 795-9845
✔ PECOS47 mi
Ali Loflin, CRNP
Nurse Practitioner
NPI 1801494661
4274 W MAIN ST
Dothan, AL 36305
(334) 793-2312
✔ PECOS81 mi
Hejal Patel, M.D.
Radiation Oncology
NPI 1174746168
4274 W MAIN ST
Dothan, AL 36305
(334) 793-2312
✔ PECOS✔ Accepts Medicare81 mi
David Rock, M.D.
General Surgery
NPI 1356391791
1831 5TH AVE
Columbus, GA 31904
(706) 320-8660
✔ PECOS✔ Accepts Medicare167 mi
Adam Riker, MD
Surgical Oncology
NPI 1194773069
1542 TULANE AVE ROOM 741
New Orleans, LA 70112
(504) 568-4752
✔ PECOS✔ Accepts Medicare222 mi
Charles Perkins, M.D.
Radiation Oncology
NPI 1851577183
6420 W NEWBERRY RD
Gainesville, FL 32605
(352) 333-5840
✔ PECOS✔ Accepts Medicare244 mi
See all 282 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Genesiscare Usa Of Florida LLC's NPI number?

The NPI number for Genesiscare Usa Of Florida LLC is 1427677038. It was assigned to this organization in the NPPES registry on April 14, 2020. The provider is doing business as Thomas J. Shaknovsky, DO.

Where is Genesiscare Usa Of Florida LLC located?

Genesiscare Usa Of Florida LLC is located at 36468 Emerald Coast Pkwy Ste 11103, Destin, FL 32541. The listed phone number is (850) 660-5204.

What is Genesiscare Usa Of Florida LLC's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Genesiscare Usa Of Florida LLC enrolled in Medicare?

Yes. Genesiscare Usa Of Florida LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Genesiscare Usa Of Florida LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 282 clinicians in 19 Medicare specialties reassign their Medicare billing to Genesiscare Usa Of Florida LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Urology (86), Nurse Practitioner (56) and Radiation Oncology (53). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Genesiscare Usa Of Florida LLC accept?

Health plans from Cigna HealthCare of Florida, Inc. and Cigna Healthcare list Genesiscare Usa Of Florida LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Genesiscare Usa Of Florida LLC was last updated on January 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.