Deborah L George, MD
Individual provider Active NPI Family Medicine Physician · Mount Vernon, IA
NPI 1225015142 · NPPES record last updated May 16, 2012
Key facts
- NPI
- 1225015142
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 22635 (IA)
- Practice address
- 200 Virgil Ave
Mount Vernon, IA 52314-1589 - Phone
- (319) 895-8841
- Fax
- (319) 895-8477
- NPI assigned
- Dec 30, 2005
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22635 | IA | MD | Family Medicine Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 22635 | IA | Yes |
Addresses
Primary practice location
200 Virgil Ave
Mount Vernon, IA 52314-1589
Mailing address
200 Virgil Ave
Mount Vernon, IA 52314-1589
Phone (319) 895-8841
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2223289 | Medicaid | IA | |
| 3223289 | Medicaid | IA | |
| 0223289 | Medicaid | IA | |
| 080081138 | Other | IA | RR MEDICARE |
| 1223289 | Medicaid | IA | |
| 1225015142 | Medicaid | IA |
Other providers in Mount Vernon, IA
- Douglas Charles Easker
- Ecotone Therapy Services PLLC
- Rebecca Rae Fetter
- Stephanie Michele Friess
- Gbank Health LLC
- Julianna Marie Gondek
- Randi James Grafft
- Deianeira Grage
- Tyler Gray
- Kellee Guthrie
All providers in Mount Vernon, IA · Family Medicine Physician in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 16, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.