{"npi":"1790188076","type":"NPI-2","status":"active","name":{"display":"Genesis Eldercare Physician Services LLC","other":[],"organization_name":"GENESIS ELDERCARE PHYSICIAN SERVICES LLC","authorised_official":"Eric Shapiro"},"specialty":{"primary_taxonomy":"207RG0300X","primary_taxonomy_description":"Geriatric Medicine (Internal Medicine) Physician","slug":"geriatric-medicine-internal-medicine-physician","schema_org_specialty":null,"all":[{"code":"207RG0300X","description":"Geriatric Medicine (Internal Medicine) Physician","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"136 DAVIS LN","city":"LA FOLLETTE","state":"TN","postal_code":"37766","country_code":"US","phone":"4235620760"},{"purpose":"MAILING","street_1":"PO BOX 62946","city":"BALTIMORE","state":"MD","postal_code":"212642946","country_code":"US","phone":"4104947607"}],"license":null,"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20150617002292","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"TN","pac_id":"9830002534"}]},"enumeration_date":"2014-10-01","last_updated":"2019-08-05","_meta":{"source":"NPPES","snapshot_date":"2019-08-05","doc_url":"https://findmynpi.com/api"}}