Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Rod E Genck, PA

Individual provider Family Medicine Physician · NPI 1972618890

Rod E Genck, PA is a Physician Assistant in Show Low, Arizona. Qualified in 1995, 31 years ago. Practices with Banner Primary Care Physicians Arizona LLC, a 237-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
31
Licensed in
AZ
In the registry since
2006
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

680 E Deuce Of Clubs
Show Low, AZ 85901-4829
Phone: (480) 682-4118
Fax: (480) 682-4101
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 1963 (AZ)

Record details

NPI number1972618890
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedAugust 20, 2006
Last updated in NPPESMarch 31, 2016
Mailing address15223 N 87th St, 110, Scottsdale, AZ 85260-2639

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1995 (31 years in practice)
Group practice Banner Primary Care Physicians Arizona Llc — 237 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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