Individual provider Active NPI

George Paschal Lupton, MD

  • Dermatology Physician
  • Silver Spring, MD
National Provider Identifier
1215005137
Registry record updated Jan 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
10113 Issued in SC
Practice address
606 Stephen Sitter Ave
Silver Spring, MD 20910-1290
Phone
(301) 295-5252
Fax
(301) 295-5675
NPI assigned
Nov 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 10113 SC Primary

Addresses

Primary practice location

606 Stephen Sitter Ave
Silver Spring, MD 20910-1290

Mailing address

606 Stephen Sitter Ave
Silver Spring, MD 20910-1290
Phone (301) 295-5252

Other identifiers 1

IdentifierTypeStateIssuer
101133MedicaidSC

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

LicenseStateTypeSpecialty
10113SCMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Elizabeth Mitchell Dugan MD LLC Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516060800000",
    "number": "1215005137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "606 STEPHEN SITTER AVE",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209101290",
            "telephone_number": "301-295-5252",
            "fax_number": "301-295-5675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "606 STEPHEN SITTER AVE",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209101290",
            "telephone_number": "301-295-5252",
            "fax_number": "301-295-5675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUPTON",
        "first_name": "GEORGE",
        "middle_name": "PASCHAL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-30",
        "last_updated": "2018-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "SC",
            "license": "10113",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101133",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 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.