GENESIS OBSTETRICS AND GYNECOLOGY PLLC – Gynecology Physician, NPI 1972713055

GENESIS OBSTETRICS AND GYNECOLOGY PLLC is a healthcare provider. based in Tacoma, Washington. specializing in Gynecology Physician. The organization holds a License No. OP00001459 (WA). The NPI Number for GENESIS OBSTETRICS AND GYNECOLOGY PLLC is 1972713055

Main info

Organization
Name
GENESIS OBSTETRICS AND GYNECOLOGY PLLC
NPI
1972713055
Phone
(253) 460-7777
Address
314 MARTIN LUTHER KING JR WAY
Authorized Official
JOHNETTE B MAEHREN OWNER D.O.
Enumeration Date
23 May 2007
Last Update Date
22 August 2020
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for GENESIS OBSTETRICS AND GYNECOLOGY PLLC

  • 314, Martin Luther King Jr Way, G Street Neighborhood, Tacoma, Pierce County, Washington, 98405, United States

    SUITE 401

    TACOMA, WA 984054250

    Phone: (253) 460-7777

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 98405)

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Reviews

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Frequently asked questions

Does GENESIS OBSTETRICS AND GYNECOLOGY PLLC share an NPI with anyone else?
NPI numbers are unique to each provider or organization — GENESIS OBSTETRICS AND GYNECOLOGY PLLC uses 1972713055.
Does CMS list GENESIS OBSTETRICS AND GYNECOLOGY PLLC as active?
Yes — GENESIS OBSTETRICS AND GYNECOLOGY PLLC is active in the NPI listing used on this page.
What is GENESIS OBSTETRICS AND GYNECOLOGY PLLC best known for clinically?
Directory data describes GENESIS OBSTETRICS AND GYNECOLOGY PLLC with Gynecology Physician. Clinical services aligned with this taxonomy classification.
Where is GENESIS OBSTETRICS AND GYNECOLOGY PLLC based?
GENESIS OBSTETRICS AND GYNECOLOGY PLLC is tied to Tacoma, Washington in the data we show; additional addresses may exist on the full record.
Is the information about GENESIS OBSTETRICS AND GYNECOLOGY PLLC up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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