William Dewitt George Jr., M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

C8288 Issued in TX

Practice address

2400 Highway 365
Suite 201
Nederland, TX 77627-6249

Phone

(409) 833-9797

Fax

(409) 654-6816

NPI assigned

Jul 18, 2005

Reactivated

Mar 29, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

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 and National Provider Directory roles.

• City of Port Arthur

  • Public Health or Welfare Agency
  • Port Arthur, TX
  • NPI 1518157122
  NPD (past) Authorized official
• William D. George, MD

  • Internal Medicine Physician
  • Port Arthur, TX
  • NPI 1396859849
  NPD (past) Authorized official

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

{
    "created_epoch": "1121644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536624000000",
    "number": "1144229659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2929 CALDER ST",
            "address_2": "SUITE 100",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777021845",
            "telephone_number": "409-833-9797",
            "fax_number": "409-654-6886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 HIGHWAY 365",
            "address_2": "SUITE 201",
            "city": "NEDERLAND",
            "state": "TX",
            "postal_code": "776276249",
            "telephone_number": "409-833-9797",
            "fax_number": "409-654-6816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEORGE",
        "first_name": "WILLIAM",
        "middle_name": "DEWITT",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-18",
        "last_updated": "2018-09-11",
        "deactivation_date": "2006-03-18",
        "reactivation_date": "2006-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "C8288",
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "TX",
            "license": "C8288",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "C8288",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "133790915",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8CU673",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Roxane Gillam Freeman
• Bridgette Nichole Friday
• John Tsukuru Fukuda
• Leticia Sue Garcia, D.D.S.
• Sarah Lynn Gassen, RN
• Gerardo a Chica, M.D.,P.a.
• Golden Triangle Cardiothoracic and Vascular Surgery
• Gerzain Whitney Gomez, D.D.S.
• Chase Donavon Gordon, DDS
• Odis Wayne Gossett, M.D.

• Internal Medicine Physician in Nederland, TX
• Providers in Nederland, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2018; 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.