| Genesis Family Health | |
|
712a Saint John St Garden City KS 67846-5128 | |
| (620) 275-1766 | |
| (620) 275-4729 |
| Full Name | Genesis Family Health |
|---|---|
| Speciality | Family Medicine |
| Location | 712a Saint John St, Garden City, Kansas |
| Authorized Official Name and Position | Julie K Wright (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 6202751766 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Genesis Family Health 712 Saint John St Garden City KS 67846-5128 Ph: (620) 275-1766 | Genesis Family Health 712a Saint John St Garden City KS 67846-5128 Ph: (620) 275-1766 |
| NPI Number | 1104072487 |
|---|---|
| Provider Enumeration Date | 08/18/2008 |
| Last Update Date | 11/21/2022 |
| Medicare PECOS PAC ID | 7416866124 |
|---|---|
| Medicare Enrollment ID | O20151102000538 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104072487 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Samir K Shaath |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1023099686 PECOS PAC ID: 1850331265 Enrollment ID: I20050505000197 |
| Provider Name | Win M Kyi |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1720152952 PECOS PAC ID: 9133160880 Enrollment ID: I20050512000824 |
| Provider Name | Aye M Win |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1669521548 PECOS PAC ID: 6305887050 Enrollment ID: I20050512000829 |
| Provider Name | Harold L Perkins |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1427014430 PECOS PAC ID: 3971545385 Enrollment ID: I20050525001152 |
| Provider Name | Tamara T Meisel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417942186 PECOS PAC ID: 4284722794 Enrollment ID: I20071116000553 |
| Provider Name | Emmanuel T Okeke |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1043335946 PECOS PAC ID: 4688702558 Enrollment ID: I20100513000726 |
| Provider Name | Faris Azzouni |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1619110608 PECOS PAC ID: 9739345422 Enrollment ID: I20130916000115 |
| Provider Name | Jessica Y Calvo Castanon |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1104114081 PECOS PAC ID: 2567682818 Enrollment ID: I20141008001349 |
| Provider Name | Robin R Unruh |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366695173 PECOS PAC ID: 0547482721 Enrollment ID: I20141104002156 |
| Provider Name | Samuel E Goetschius |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932505054 PECOS PAC ID: 1850618612 Enrollment ID: I20150501000713 |
| Provider Name | Tiffany L Landa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386918811 PECOS PAC ID: 2668731787 Enrollment ID: I20180118001592 |
| Provider Name | Kandi L Arwine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801319181 PECOS PAC ID: 5991069981 Enrollment ID: I20180426002794 |
| Provider Name | Marsha Lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245225804 PECOS PAC ID: 7416211404 Enrollment ID: I20180426002888 |
| Provider Name | Jose A Granados |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194925412 PECOS PAC ID: 4688938673 Enrollment ID: I20180426002948 |
| Provider Name | Stephanneth Adams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215352687 PECOS PAC ID: 7719103878 Enrollment ID: I20180508001934 |
| Provider Name | John Phuoc Nguyen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851879753 PECOS PAC ID: 1759631732 Enrollment ID: I20180912003246 |
| Provider Name | Racquel Stucky |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497136220 PECOS PAC ID: 5294049391 Enrollment ID: I20180918000798 |
| Provider Name | Angela Kirk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295224574 PECOS PAC ID: 3375895683 Enrollment ID: I20181016000884 |
| Provider Name | Joan I Aura |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811460975 PECOS PAC ID: 9133553092 Enrollment ID: I20191231000614 |
| Provider Name | Rhandi Lee Rexroat |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649744202 PECOS PAC ID: 4284068065 Enrollment ID: I20200103000256 |
| Provider Name | Bob William Dean |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861081804 PECOS PAC ID: 5193132116 Enrollment ID: I20210318000857 |
| Provider Name | Olga Margarita Beyna |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891245205 PECOS PAC ID: 8224446760 Enrollment ID: I20210421001509 |
| Provider Name | Anna Alexandra Titus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730715178 PECOS PAC ID: 9133518525 Enrollment ID: I20211104002162 |
| Provider Name | Chelsea Gleason |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1831855105 PECOS PAC ID: 0547653040 Enrollment ID: I20220204001417 |
| Provider Name | Aracely Del Real |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609522440 PECOS PAC ID: 1355722141 Enrollment ID: I20220726001657 |
| Provider Name | San Juanita Heytens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669081519 PECOS PAC ID: 8123403318 Enrollment ID: I20220926000100 |
| Provider Name | Vanessa Patricia Gaytan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437719580 PECOS PAC ID: 0042686529 Enrollment ID: I20221025002034 |
| Provider Name | Selma J Schultz |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1093910671 PECOS PAC ID: 5193905743 Enrollment ID: I20221230000203 |
| Provider Name | Jessica Carlisle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801502364 PECOS PAC ID: 1456718121 Enrollment ID: I20230612001860 |
| Provider Name | Holly Yvonne Mancillas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740801885 PECOS PAC ID: 6002265188 Enrollment ID: I20231214002168 |
St Catherine Physician Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 311 E Spruce Street, Garden City, KS 67846 Phone: 620-272-2222 Fax: 620-272-2216 | |
Genesis Family Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2510 N Henderson Dr, Garden City, KS 67846 Phone: 620-272-0570 Fax: 620-271-0582 | |
Xpress Wellness Urgent Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1021 Fleming St, Garden City, KS 67846 Phone: 620-277-2010 | |
Centura Health Convenient Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2051 E Mary St, Garden City, KS 67846 Phone: 620-272-2222 Fax: 620-272-2216 | |
Rhs Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 302 Fleming St, Garden City, KS 67846 Phone: 620-271-1424 | |
Plaza Medical Center, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 911 N Main St, Garden City, KS 67846 Phone: 620-276-8201 Fax: 620-275-0712 |