Individual provider Active NPI

Ellen George, DO

  • Pediatric Emergency Medicine (Pediatrics) Physician
  • Philadelphia, PA
National Provider Identifier
1023543204
Registry record updated Mar 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Emergency Medicine (Pediatrics) PhysicianTaxonomy code 2080P0204X
License
OS19997 Issued in FL
Practice address
160 E Erie Ave
Philadelphia, PA 19134-1011
Phone
(215) 427-5369
NPI assigned
Apr 26, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 25MB10870800 NJ
Pediatrics Physician 208000000X OS021116 PA
Pediatrics Physician 208000000X 25MB10870800 NJ
Pediatric Emergency Medicine (Pediatrics) Physician 2080P0204X OS19997 FL Primary

Addresses

Primary practice location

160 E Erie Ave
Philadelphia, PA 19134-1011

Mailing address

2772 Suncrest Dr
Allentown, PA 18104-9694
Phone (610) 597-5457

Other practice location 1

201 Lyons Ave
Newark, NJ 07112-2027
Phone (800) 843-2384

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, PA, FL3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20210423001081 NJ Practitioner - Pediatric Medicine 4284907635 Reassigns benefits to 2 organizations
I20211117003149 PA Practitioner - Pediatric Medicine 4284907635 Reassigns benefits to 2 organizations
I20230531002810 FL Practitioner - Emergency Medicine 4284907635 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OS021116PAMDPediatrics Physician
OS19997FLMDPediatric Emergency Medicine (Pediatrics) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
STC Pediatrics LLC Pediatrics CurrentSince Apr 18, 2022 Accepting new patients
St Luke'S Physician Group Inc CurrentSince Aug 10, 2021 Accepting new patients
Middlesex Emergency Physicians, P.a. Emergency Medicine CurrentSince Apr 1, 2022 Accepting new patients
St. Luke'S Physician Group, Inc. Current Accepting new patients
STC Pediatrics LLC Pediatrics CurrentSince Apr 18, 2022 Accepting new patients
STC Pediatrics LLC Emergency Medicine Current Accepting new patients
Florida Clinical Practice Association Inc CurrentSince Aug 20, 2024 Accepting new patients
Emergency Physicians Inc Emergency Medicine CurrentSince Jun 15, 2023 Accepting new patients
Emergency Physicians Inc Emergency Medicine CurrentSince Jun 15, 2023 Accepting new patients
St Luke'S Physician Group Inc CurrentSince Aug 10, 2021 Accepting new patients
Emergency Physician Services of New Jersey,Professional Association Emergency Medicine CurrentSince May 1, 2021 Accepting new patients
Florida Clinical Practice Association Inc CurrentSince Aug 20, 2024 Accepting new patients

Locations

1250 S 18th St
Ste 202
Fernandina Beach, FL 32034
Phone (904) 202-2000

1747 Baptist Clay Dr
Ste 250
Fleming Isle, FL 32003
Phone (904) 516-1000

2001 SW 13th St
Gainesville, FL 32608
Phone (352) 265-8990

1600 SW Archer Rd
Gainesville, FL 32610
Phone (352) 265-0077

65 James St
Edison, NJ 08820
Phone (732) 321-7010

718 Teaneck Rd
Teaneck, NJ 07666
Phone (201) 833-3232

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

300 E Hunting Park Ave
Philadelphia, PA 19124
Phone (215) 427-8363

160 E Erie Ave
Philadelphia, PA 19134
Phone (215) 427-4067

Interoperability endpoints

  • Direct secure messaging: egeorge243491@direct.shands.ufl.edu

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1493164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741132800000",
    "number": "1023543204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2772 SUNCREST DR",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181049694",
            "telephone_number": "610-597-5457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 E ERIE AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191341011",
            "telephone_number": "215-427-5369"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 Lyons Ave",
            "address_purpose": "LOCATION",
            "city": "Newark",
            "state": "NJ",
            "postal_code": "071122027",
            "country_code": "US",
            "telephone_number": "800-843-2384",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GEORGE",
        "first_name": "ELLEN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-26",
        "last_updated": "2025-03-05",
        "certification_date": "2025-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NJ",
            "license": "25MB10870800",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "OS021116",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MB10870800",
            "primary": false
        },
        {
            "code": "2080P0204X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Emergency Medicine",
            "state": "FL",
            "license": "OS19997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.