1. Home
  2. Directory
  3. Iowa
  4. Davenport
  5. Family Medicine
  6. NPI Profile

GENESIS HEALTH GROUP
NPI 1669576088
Family Medicine in Davenport, IA

Active since September 08, 2006CLIA 16D0894825 · Waiver
1520 W 53RD ST, DAVENPORT, IA 52806(563) 421-4900(563) 421-4910 Get Directions Write a Review

NPPES record last updated: September 28, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Genesis Health Group NPPES

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

GENESIS HEALTH GROUP (NPI 1669576088) is a healthcare organization registered as a family medicine in Davenport, Iowa and active in the NPI registry since September 2006. The organization holds a CLIA Waiver certificate valid through April 1, 2027 and lists Mark G Rogers, Vice President Of Finance, as its authorized official.

NPPES Registry Identity

NPI1669576088
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameGENESIS HEALTH SYSTEM
Location Address1520 W 53RD STDavenport, IA 52806-2459
Mailing Address865 Lincoln Road, Ste L10Bettendorf, IA 52722 · (563) 355-9191 · Fax (563) 355-3419
Phone(563) 421-4900
Fax(563) 421-4910
Organization SubpartNo
Authorized OfficialMark G RogersVice President Of Finance · (563) 421-6513
Enumeration DateSeptember 8, 2006
Last NPPES UpdateSeptember 28, 2009
✔ NPI 1669576088 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1520 W 53RD ST, Davenport, IA 52806
Open in Google Maps ↗

Other Names 1

Doing Business AsGenesis Health Group

Other Identifiers 1

Other5727210011Dmerc

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 16D0894825

Genesis Health Group · Davenport, IA
Active · expires Apr 1, 2027
CLIA Number16D0894825
Laboratory TypePhysician Office
Certificate Effective DateApril 2, 2025
Certificate Expiration DateApril 1, 2027
Laboratory DirectorThomas Lyons
Laboratory Phone(563) 421-4900
Laboratory LocationGenesis Health Group3200 West Kimberly Road, Davenport, IA 52806
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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.

GENESIS HEALTH SYSTEM
Clinic/Center
1520 W 53RD ST
DAVENPORT, IA 52806
Scott County (563) 421-3800
OMAR ACEVIZ
Nurse Practitioner
1520 W 53RD ST
DAVENPORT, IA 52806
Scott County (563) 421-3800
PAUL R HARTMANN MD
Family Medicine
1520 W 53RD ST, STE 1
DAVENPORT, IA 52806
Scott County (563) 421-4900
JONATHAN DOUGLAS MANLEY FNP-C
Nurse Practitioner (Family)
1520 W 53RD ST
DAVENPORT, IA 52806
Scott County (563) 421-3840
MRS. CATHERINE A HAGEDORN PA-C
Physician Assistant (Medical)
1520 W 53RD ST, SUITE 2
DAVENPORT, IA 52806
Scott County (563) 421-3800
CALENE LYNETTE WOODHOUSE ARNP
Nurse Practitioner (Family)
1520 W 53RD ST
DAVENPORT, IA 52806
Scott County (563) 421-3800
SARA ELIZABETH TERRONEZ DNP
Nurse Practitioner (Family)
1520 W 53RD ST
DAVENPORT, IA 52806
Scott County (563) 421-3800

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 Health System's NPI number?

The NPI number for Genesis Health System is 1669576088. It was assigned to this organization in the NPPES registry on September 8, 2006. The provider is doing business as Genesis Health Group.

Where is Genesis Health System located?

Genesis Health System is located at 1520 W 53rd St, Davenport, IA 52806. The listed phone number is (563) 421-4900.

What is Genesis Health System's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Genesis Health System hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 16D0894825) is associated with this NPI, valid through April 1, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Genesis Health System was last updated on September 28, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years 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.