GENESIS OB GYN PLLC
Complete NPI Record 1992994214
Obstetrics & Gynecology in Tucson, AZ
Active since October 23, 2007CLIA Certified · 5 labs
Complete NPI Dataset
This page contains the complete raw NPPES record for Genesis Ob Gyn Pllc (NPI 1992994214), an obstetrics & gynecology organization in Tucson, AZ. All 33 fields on file are listed with their current values and official NPPES definitions, exactly as recorded in the National Plan and Provider Enumeration System. Only fields that contain data are included, so the number of fields shown varies from one NPI record to another.
Use the tools below to filter fields by category, search within the record, or jump straight to a specific field. You can download the full record as a CSV, JSON, Markdown or text file, or filter first and export only the fields you need. The Print Clean Summary button produces a printer-friendly copy of the record.
Registry File Document Utilities
- NPI: 1992994214 Field 1/33
- The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
- Entity Type Code: 2 Field 2/33
- Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
- Employer Identification Number EIN: Not available Field 3/33
- The Employer Identification Number (EIN), assigned by the IRS, of the provider being identified.
- Provider Organization Name Legal Business Name: GENESIS OB GYN PLLC Field 4/33
- The name of the organization provider. If the provider is an organization, this is the legal business name.
- Provider First Line Business Mailing Address: PO BOX 81064 Field 5/33
- The first line mailing address of the provider being identified. This data element may contain the same information as "Provider first line location address".
- Provider Business Mailing Address City Name: CLEVELAND Field 6/33
- The city name in the mailing address of the provider being identified.
- Provider Business Mailing Address State Name: OH Field 7/33
- The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address State name".
- Provider Business Mailing Address Postal Code: 441810064 Field 8/33
- The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as "Provider location address postal code".
- Provider Business Mailing Address Country Code If outside U S : US Field 9/33
- The country code in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address country code".
- Provider Business Mailing Address Telephone Number: 5207958080 Field 10/33
- The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number".
- Provider Business Mailing Address Fax Number: 5203236237 Field 11/33
- The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as "Provider location address fax number".
- Provider First Line Business Practice Location Address: 655 E RIVER RD UNIT 201 Field 12/33
- The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
- Provider Business Practice Location Address City Name: TUCSON Field 13/33
- The city name in the location address of the provider being identified.
- Provider Business Practice Location Address State Name: AZ Field 14/33
- The State code in the location of the provider being identified.
- Provider Business Practice Location Address Postal Code: 857045853 Field 15/33
- The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
- Provider Business Practice Location Address Country Code If outside U S : US Field 16/33
- The country code in the location address of the provider being identified.
- Provider Business Practice Location Address Telephone Number: 5202580585 Field 17/33
- The telephone number associated with the location address of the provider being identified.
- Provider Business Practice Location Address Fax Number: 8334492358 Field 18/33
- The fax number associated with the location address of the provider being identified.
- Authorized Official Last Name: NELSON-MOSEKE Field 21/33
- The last name of the person authorized to submit the NPI application or to change NPS data for a health care provider.
- Authorized Official First Name: ANNA Field 22/33
- The first name of the authorized official.
- Authorized Official Title or Position: CMO Field 23/33
- The title or position of the authorized official.
- Authorized Official Telephone Number: 5202580585 Field 24/33
- The 10-position telephone number of the authorized official.
- Healthcare Provider Taxonomy Code 1: 207VM0101X Field 25/33
- This field represents the provider's taxonomy code, which classifies their type, classification, and area of specialization. This code comes from the Healthcare Provider Taxonomy Code Set maintained by the National Uniform Claim Committee (NUCC). The NPS will associate these data with the license data for providers with Entity type code = 1.
- Healthcare Provider Primary Taxonomy Switch 1: N Field 26/33
- This field shows whether the related taxonomy code is the provider's primary specialty. It is a single-character value: "Y" indicates the taxonomy is the primary one, while "N" indicates it is not. Each provider record can have only one taxonomy code marked as primary.
- Healthcare Provider Taxonomy Code 2: 207V00000X Field 27/33
- This field represents the provider's taxonomy code, which classifies their type, classification, and area of specialization. This code comes from the Healthcare Provider Taxonomy Code Set maintained by the National Uniform Claim Committee (NUCC). The NPS will associate these data with the license data for providers with Entity type code = 1.
- Healthcare Provider Primary Taxonomy Switch 2: Y Field 28/33
- This field shows whether the related taxonomy code is the provider's primary specialty. It is a single-character value: "Y" indicates the taxonomy is the primary one, while "N" indicates it is not. Each provider record can have only one taxonomy code marked as primary.
- Is Organization Subpart: N Field 29/33
- Indicates whether the provider is a subpart of a larger organization. This is a single-character code: "Y" means the entity is an organizational subpart, while "N" means it is not. Subparts typically include hospital departments, clinics, or other distinct units that fall under a parent organization.
- Authorized Official Credential Text: MD Field 30/33
- The professional credential(s) of the authorized official listed on the provider's NPI record. Examples include MD (Doctor of Medicine), DO (Doctor of Osteopathy), RN (Registered Nurse), DDS (Doctor of Dental Surgery), PhD, or other recognized designations that reflect the official's qualifications.
- Healthcare Provider Taxonomy Group 1: 193200000X MULTI-SPECIALTY GROUP Field 31/33
- Specifies whether the provider is part of a single-specialty or multi-specialty business group. The possible values are: 193200000X – Multi-Specialty Group or 193400000X – Single Specialty Group. This field helps distinguish the organizational structure of a provider group.
- Healthcare Provider Taxonomy Group 2: 193200000X MULTI-SPECIALTY GROUP Field 32/33
- Specifies whether the provider is part of a single-specialty or multi-specialty business group. The possible values are: 193200000X – Multi-Specialty Group or 193400000X – Single Specialty Group. This field helps distinguish the organizational structure of a provider group.
Secondary Practice Locations 22
The first line of the secondary practice location address of the provider being identified. For providers with more than one physical location, this is a secondary practice location address. This address cannot include a Post Office box.
1313 E Osborn Rd Ste 250
Location 1/22Phoenix, AZ 85014-5699 · Phone (602) 265-9161 · Fax (602) 265-1823
11209 N Tatum Blvd Ste 255
Location 2/22Phoenix, AZ 85028-6061 · Phone (602) 494-5050
2300 N Rosemont Blvd
Location 3/22Tucson, AZ 85712-2139 · Phone (520) 881-1977 · Fax (520) 881-1979
1760 E Pecos Rd Ste 235
Location 4/22Gilbert, AZ 85295-3207 · Phone (480) 813-0944 · Fax (480) 813-0038
5757 W Thunderbird Rd Ste W202
Location 5/22Glendale, AZ 85306-5612 · Phone (602) 678-1111 · Fax (602) 678-7090
3710 E University Dr Ste 2
Location 6/22Phoenix, AZ 85034-7292 · Phone (480) 863-5200 · Fax (480) 863-5255
1100 N San Francisco St Ste B
Location 7/22Flagstaff, AZ 86001-3260 · Phone (928) 779-7851 · Fax (928) 213-9990
6261 N La Cholla Blvd Ste 2
Location 8/22Tucson, AZ 85741-3565 · Phone (520) 392-7500 · Fax (520) 323-4350
174 S Coronado Dr Ste A
Location 9/22Sierra Vista, AZ 85635-6356 · Phone (520) 545-0676 · Fax (520) 547-2993
4530 N 32nd St Ste 100
Location 10/22Phoenix, AZ 85018-3357 · Phone (602) 468-3912 · Fax (866) 777-2248
6367 E Tanque Verde Rd Ste 200
Location 11/22Tucson, AZ 85715-3832 · Phone (520) 392-7500 · Fax (520) 323-4350
1521 E Tangerine Rd Ste 209
Location 12/22Oro Valley, AZ 85755-6218 · Phone (520) 545-0573 · Fax (520) 297-5597
120 W Calle De Las Tiendas
Location 13/22Green Valley, AZ 85614-4326 · Phone (520) 545-0573 · Fax (520) 297-5597
6452 E Carondelet Dr Ste 100
Location 14/22Tucson, AZ 85710-2262 · Phone (520) 323-0333 · Fax (520) 323-5036
7787 W Deer Valley Rd Ste 296
Location 15/22Peoria, AZ 85382-2119 · Phone (602) 978-1500 · Fax (602) 978-0409
5533 E Bell Rd Ste 103
Location 16/22Scottsdale, AZ 85254-1256 · Phone (602) 466-1111 · Fax (602) 795-4706
4600 S Park Ave Ste 6B
Location 17/22Tucson, AZ 85714-1697 · Phone (520) 624-6260 · Fax (833) 449-2358
6261 N La Cholla Blvd Ste 3
Location 18/22Tucson, AZ 85741-3565 · Phone (520) 392-7500 · Fax (520) 323-4350
1005 Division St
Location 19/22Prescott, AZ 86301-1601 · Phone (928) 776-8428 · Fax (928) 776-8057
3262 N Windsong Dr Ste B
Location 20/22Prescott Valley, AZ 86314-2255 · Phone (928) 776-8428 · Fax (928) 776-8057
6678 W Thunderbird Rd
Location 21/22Glendale, AZ 85306-3721 · Phone (602) 978-1500 · Fax (602) 978-0409
33423 N 32nd Ave Ste 3200
Location 22/22Phoenix, AZ 85085-8874 · Phone (602) 978-1500 · Fax (602) 978-0409
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