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GENESIS FAMILY MEDICAL CENTER
NPI 1922012764
Family Medicine in Davenport, IA

Active since July 28, 2006
1345 W CENTRAL PARK AVE, DAVENPORT, IA 52804(563) 421-4400(563) 421-4449 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Genesis Family Medical Center NPPES

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

GENESIS FAMILY MEDICAL CENTER (NPI 1922012764) is a healthcare organization registered as a family medicine in Davenport, Iowa and active in the NPI registry since July 2006. The organization lists Terri Walz, Program Assistant, as its authorized official.

NPPES Registry Identity

NPI1922012764
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameGENESIS HEALTH SYSTEM
Location Address1345 W CENTRAL PARK AVEDavenport, IA 52804-1844
Mailing Address1345 W Central Park AveDavenport, IA 52804-1844 · (563) 421-4400 · Fax (563) 421-4449
Phone(563) 421-4400
Fax(563) 421-4449
Organization SubpartNo
Authorized OfficialTerri WalzProgram Assistant · (563) 421-4400
Enumeration DateJuly 28, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1922012764 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.
1345 W CENTRAL PARK AVE, Davenport, IA 52804
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Other Names 1

Doing Business AsGenesis Family Medical Center

Other Identifiers 2

Medicaid0495747IA
Medicaid0495952IA

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 20

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

DR. JESICAH ELISABETH AMBRISCO DO
Family Medicine
1345 W CENTRAL PARK AVE
DAVENPORT, IA 52804
Scott County (563) 421-4400
CAROLINE SIDLINGER DNP
Nurse Practitioner (Family)
1345 W CENTRAL PARK AVE
DAVENPORT, IA 52804
Scott County (563) 421-4400
THANG LUONG D.O.
Family Medicine
1345 W CENTRAL PARK AVE
DAVENPORT, IA 52804
Scott County (563) 421-4400
DAILEN MARIE FOLKEDAHL DO
Family Medicine
1345 W CENTRAL PARK AVE
DAVENPORT, IA 52804
Scott County (563) 421-4400
JOSHUA CARPENTER M.D.
Family Medicine
1345 W CENTRAL PARK AVE
DAVENPORT, IA 52804
Scott County (563) 421-4400
ROSS BURANDT
Student in an Organized Health Care Education/Training Program
1345 W CENTRAL PARK AVE
DAVENPORT, IA 52804
Scott County (563) 421-4400
STEPHANIE ANNE MCMILLAN DO
Student in an Organized Health Care Education/Training Program
1345 W CENTRAL PARK AVE
DAVENPORT, IA 52804
Scott County (563) 421-4400
DR. BRADLEY W JOHNSON D.O
Family Medicine
1345 W CENTRAL PARK AVE
DAVENPORT, IA 52804
Scott County (563) 421-4400

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 1922012764. It was assigned to this organization in the NPPES registry on July 28, 2006. The provider is doing business as Genesis Family Medical Center.

Where is Genesis Health System located?

Genesis Health System is located at 1345 W Central Park Ave, Davenport, IA 52804. The listed phone number is (563) 421-4400.

What is Genesis Health System's specialty?

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

When was this NPI record last updated?

The NPPES record for Genesis Health System was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.