George S Fidone, MD

Primary specialty

Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X

License

H4321 Issued in TX

Practice address

205 Gene Samford Dr
Lufkin, TX 75904

Phone

(936) 634-2214

Fax

(936) 639-9660

NPI assigned

Aug 31, 2006

Last updated

Jul 8, 2007By 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

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.

• Angelina Pediatrics PLLC

  • Pediatrics Physician
  • Lufkin, TX
  • NPI 1154425494
  NPD (past) Authorized official
• Memorial Health System of East Texas

  dba CHI St Luke's Health Memorial IDTF Mobile Unit

  • Medical Specialty Clinic/Center
  • Lufkin, TX
  • NPI 1083162473
  NPD (past)
• Memorial Health System of East Texas

  dba CHI St. Lukes Health Memorial Lufkin

  • Rural Acute Care Hospital
  • Lufkin, TX
  • NPI 1396746129
  NPD (past)
• Piney Woods Healthcare System, L.P.

  dba Woodland Heights Medical Center

  • General Acute Care Hospital
  • Lufkin, TX
  • NPI 1487607792
  NPD (past)

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1114039138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 GENE SAMFORD DR",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "75904",
            "telephone_number": "936-634-2214",
            "fax_number": "936-639-9660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 GENE SAMFORD DR",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "75904",
            "telephone_number": "936-634-2214",
            "fax_number": "936-639-9660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIDONE",
        "first_name": "GEORGE",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "TX",
            "license": "H4321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brenda Farris
• Fast Emergency Care of Texas, LLC
• Steven Leigh Feld, MD
• Andrew J Fercowicz
• Chesa Fercowicz, WHNP
• Joshua Wayne Finch, CCP
• Shaquoia Finley
• Micaela Tharp Fitzgerald, LPC
• Morgan Ashley Fitzgerald, PT, MPT
• Melissa Flakes, LVN

• Pediatric Adolescent Medicine Physician in Lufkin, TX
• Providers in Lufkin, TX by specialty
• Pediatric Adolescent Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.