Timothy R George, EMPA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

Practice address

23511 Hardy Oak Blvd
San Antonio, TX 78258-1928

Phone

(210) 361-3266

NPI assigned

Mar 18, 2009

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 1

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

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.

• PVD Urgent Care LLC

  • Urgent Care Clinic/Center
  • San Antonio, TX
  • NPI 1033652110
  Medicare reassignment NPD
• Emergency Medicine Services of TX, PLLC

  • Emergency Medicine Physician
  • San Antonio, TX
  • NPI 1245938729
  Medicare reassignment

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

{
    "created_epoch": "1237334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688688000000",
    "number": "1083855159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23511 HARDY OAK BLVD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782581928",
            "telephone_number": "210-361-3266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23511 HARDY OAK BLVD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782581928",
            "telephone_number": "210-361-3266"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12412 Judson Rd",
            "address_purpose": "LOCATION",
            "city": "Live Oak",
            "state": "TX",
            "postal_code": "782333255",
            "country_code": "US",
            "telephone_number": "210-757-7000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GEORGE",
        "first_name": "TIMOTHY",
        "middle_name": "R",
        "name_prefix": "Mr.",
        "credential": "EMPA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-03-18",
        "last_updated": "2023-07-07",
        "certification_date": "2023-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03783745",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rhonda Evette George, LCSW
• Richard Patrick George, DDS
• Rohit George
• Ronny George, FNP-C
• Samantha Taylor George
• Juanita Delia Georges
• Rebekah Leigh Georges, MD
• Cecilia Bacerdo Geralde, D.O.
• Renato A Geralde, DO
• Claire Gerall, M.D.

• Medical Physician Assistant in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Medical Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2023; 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.