GENESIS PEDIATRIC GASTROENTEROLOGY - NPI 1518198324

Q: What is the provider's specialty?

The provider's specialty is Pediatrics with taxonomy code 2080P0206X and a focus in Pediatric Gastroenterology.

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About Genesis Pediatric Gastroenterology NPPES

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

GENESIS PEDIATRIC GASTROENTEROLOGY (NPI 1518198324) is a healthcare organization registered as a pediatric gastroenterology in Bettendorf, Iowa and active in the NPI registry since July 2009. The organization lists Mark G. Rogers, Vp Of Finance, Cfo, as its authorized official.

NPPES Registry Identity

NPI1518198324

Entity TypeOrganization

Primary Taxonomy2080P0206X

Legal Business NameGENESIS HEALTH SYSTEM

Location Address2222 53RD AVEBettendorf, IA 52722-7546

Mailing Address865 Lincoln Rd, Ste. L10Bettendorf, IA 52722-4190 · (563) 355-9200 · Fax (563) 355-3419

Phone(563) 383-2686

Fax(563) 383-2572

Organization SubpartNo

Authorized OfficialMark G. RogersVp Of Finance, Cfo · (563) 421-6513

Enumeration DateJuly 29, 2009

✔ NPI 1518198324 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code2080P0206X

Definition

A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.

2222 53RD AVE, Bettendorf, IA 52722

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Other Names 1

Doing Business AsGenesis Pediatric Gastroenterology

Group Practice 1

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

Other Providers at the Same Location NPPES 7

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

DR. RYAN BABU PERUMPAIL M.D.

Internal Medicine (Gastroenterology)