George K Cyriac, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

R3A41 Issued in MO

Practice address

620 E Monroe St
Mexico, MO 65265-2919

Phone

(573) 581-5850

Fax

(573) 581-8185

NPI assigned

Oct 13, 2005

Last updated

Jan 16, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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

• Medical Imaging Associates of Mexico Mo

  • Diagnostic Radiology Physician
  • Mexico, MO
  • NPI 1487659140
  Authorized official Same address or phone
• Audrain Health Care, Inc

  dba Audrain Medical Center

  • Land Ambulance
  • Mexico, MO
  • NPI 1811030851
  NPD (past)
• SSM Audrain Health Care, Inc

  dba SSM Health St. Mary's Hospital-Audrain

  • General Acute Care Hospital
  • Mexico, MO
  • NPI 1841334836
  NPD (past)

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

{
    "created_epoch": "1129161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326672000000",
    "number": "1063400943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 E MONROE ST",
            "address_2": "SUITE 202",
            "city": "MEXICO",
            "state": "MO",
            "postal_code": "652652852",
            "telephone_number": "573-581-5850",
            "fax_number": "573-581-8185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 E MONROE ST",
            "city": "MEXICO",
            "state": "MO",
            "postal_code": "652652919",
            "telephone_number": "573-581-5850",
            "fax_number": "573-581-8185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CYRIAC",
        "first_name": "GEORGE",
        "middle_name": "K",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-13",
        "last_updated": "2012-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MO",
            "license": "R3A41",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "202861704",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "300039964",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary D Crews
• Curators of the University of Missouri (Universtiy Physicians Specialty Care Associates)
• Curators of the University of Missouri (University Physicians)
• Curators of the University of Missouri
• Curators of the University of Missouri (University Physicians Specialty Care Associates)
• Lacey Davis, M.ED. PLPC
• Meghan Leeann Dawson, PLPC
• Dialysis Clinic Inc.
• Doc in a Box LLC (Simmons Family Practice)
• Doc in a Box Urgent Care LLC (Mexico After Hours Clinic)

• Diagnostic Radiology Physician in Mexico, MO
• Providers in Mexico, MO by specialty
• Diagnostic Radiology Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.