George Raymond Ikeler, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME12314 Issued in FL

Practice address

31450 Church St
Sorrento, FL 32776-9594

Phone

(352) 735-4033

Fax

(352) 735-2536

NPI assigned

Jun 27, 2006

Sex

Male

Sole proprietor

Yes

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 24, 2011.

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306195200000",
    "number": "1013944933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31450 CHURCH ST",
            "city": "SORRENTO",
            "state": "FL",
            "postal_code": "327769594",
            "telephone_number": "352-735-4044",
            "fax_number": "352-735-2536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31450 CHURCH ST",
            "city": "SORRENTO",
            "state": "FL",
            "postal_code": "327769594",
            "telephone_number": "352-735-4033",
            "fax_number": "352-735-2536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IKELER",
        "first_name": "GEORGE",
        "middle_name": "RAYMOND",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-27",
        "last_updated": "2011-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME12314",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "043349700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• George R Ikeler MD PA
• George R Ikeler, M.D P.a.
• Linda Marie Gibson-Young, CRNP
• Sharon L Harrison, DOULA
• Ronald E Holman, D.D.S.
• Nathalie Jimenez, RN
• Kids Count Therapy Services
• Adler Labossiere, APRN
• Marie Alberte Labossiere
• Maria Michelle De Luna Lavides, TDPT

• All providers in Sorrento, FL
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.