OrganizationActive
Genesis Eldercare Physician Services LLC
NPI 1366840811 · Geriatric Medicine (Internal Medicine) Physician · Bryan, OH
Provider details
- NPI number
- 1366840811
- Entity type
- Organization
- Primary specialty
- Geriatric Medicine (Internal Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Eric Shapiro, Vice President(410) 832-7790
- License
- 201315000306 (OH)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1104 Wesley Ave
Bryan, OH 43506
Phone: (419) 636-5071
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 62946
Baltimore, MD 21264-2946
Registry dates
- Enumerated
- 2014-12-16
- Last updated
- 2019-08-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.