Active NPI
George K Babcock, M.D.
- Surgery Physician
- Bluffton, IN
National Provider Identifier
1073557567
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 01024960A
- Practice address
- 303 S Main St
Bluffton, IN 46714-2503 - Phone
- (260) 824-3432
- Fax
- (260) 919-3562
- NPI assigned
- Jun 15, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 01024960A | IN | Primary |
Addresses
Primary practice location
303 S Main St
Bluffton, IN 46714-2503
Mailing address
7916 W Jefferson Blvd
Fort Wayne, IN 46804-4140
Phone (260) 824-3432
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100257660 | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01024960A | IN | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1438819200000",
"number": "1073557567",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7916 W JEFFERSON BLVD",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468044140",
"telephone_number": "260-824-3432",
"fax_number": "260-919-3562"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "303 S MAIN ST",
"city": "BLUFFTON",
"state": "IN",
"postal_code": "467142503",
"telephone_number": "260-824-3432",
"fax_number": "260-919-3562"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BABCOCK",
"first_name": "GEORGE",
"middle_name": "K",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-15",
"last_updated": "2015-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "IN",
"license": "01024960A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100257660",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bluffton, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.