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Genesis Eldercare Physician Services LLC

Genesis Eldercare Physician Services LLC is a healthcare organization registered as Geriatric Medicine (Internal Medicine) Physician in Bryan, OH, holding Type 2 (organization) NPI 1366840811 since 2014. The authorized official on file is Eric Shapiro, Vice President.

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NPI 1366840811
Entity type Organization (Type 2)
Legal business name Genesis Eldercare Physician Services LLC
Practice address 1104 WESLEY AVE, Bryan, OH, 43506
Phone 4196365071
Enumeration date 2014-12-16
Last updated in NPPES 2019-08-05

Authorized official

Name Eric Shapiro
Title Vice President
Phone 4108327790

Taxonomy & classification

Taxonomy code Specialty Primary License State
207RG0300X Geriatric Medicine (Internal Medicine) Physician Primary 201315000306 OH
Copy-ready billing details
Provider: Genesis Eldercare Physician Services LLC
NPI: 1366840811
Taxonomy: 207RG0300X (Geriatric Medicine (Internal Medicine) Physician)
Address: 1104 WESLEY AVE, Bryan, OH, 43506

Providers at this address

NPI Name Type Specialty Location
1134235880 Harborside of Ohio Limited Partnership Organization Skilled Nursing Facility Bryan, OH
1760659056 Emily Meadows Individual Speech-Language Pathologist Bryan, OH
1588908297 Kathryn Gerig Individual Speech-Language Pathologist Bryan, OH
1902140411 Clarissa Rigg Individual Occupational Therapy Assistant Bryan, OH
1194069468 Tiffany Poletta Individual Occupational Therapy Assistant Bryan, OH
1447594825 Heidi Paxton Individual Occupational Therapy Assistant Bryan, OH
1356685630 Sunhealthcare Organization Skilled Nursing Facility Bryan, OH
1386989507 Suzanne Zartman Individual Physical Therapy Assistant Bryan, OH

Verify this record

Cross-check NPI 1366840811 against the authoritative CMS record: view Genesis Eldercare Physician Services LLC on the official NPPES registry .

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.

Frequently asked questions

What type of organization is Genesis Eldercare Physician Services LLC?
Genesis Eldercare Physician Services LLC is registered in NPPES as a Geriatric Medicine (Internal Medicine) Physician (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2019-08-05.