Provider Demographics
NPI:1265448096
Name:GENIS WOMENS CARE P.C.
Entity type:Organization
Organization Name:GENIS WOMENS CARE P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DIANA
Authorized Official - Middle Name:CAROL
Authorized Official - Last Name:FEDEI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:757-923-4500
Mailing Address - Street 1:1005 COMMERCIAL LN STE 230
Mailing Address - Street 2:
Mailing Address - City:SUFFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23434-8149
Mailing Address - Country:US
Mailing Address - Phone:757-923-4500
Mailing Address - Fax:757-923-4607
Practice Address - Street 1:1005 COMMERCIAL LN STE 230
Practice Address - Street 2:
Practice Address - City:SUFFOLK
Practice Address - State:VA
Practice Address - Zip Code:23434-8149
Practice Address - Country:US
Practice Address - Phone:757-923-4500
Practice Address - Fax:757-923-4607
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-01
Last Update Date:2025-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA006216234Medicaid
VA010276781Medicaid
VA010283035Medicaid