George R Small Jr MD PC

Primary specialty

Legal MedicineTaxonomy code 173000000X

License

01022870A Issued in IN

Legal business name

GEORGE R SMALL JR MD PC

Practice address

284 N Madison Ave
Greenwood, IN 46142-3634

Phone

(317) 888-7745

NPI assigned

Jul 21, 2008

Organization subpart

No

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

Authorized official

Name

Dr. George R Small, Jr, MD

Title

MD

Phone

(317) 422-5490

Specialties & licenses 1

Addresses

Other identifiers 4

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

{
    "created_epoch": "1216598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216598400000",
    "number": "1245495142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "284 N MADISON AVE",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461423634",
            "telephone_number": "317-888-7745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "284 N MADISON AVE",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461423634",
            "telephone_number": "317-888-7745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGE R SMALL JR MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-21",
        "last_updated": "2008-07-21",
        "status": "A",
        "authorized_official_last_name": "SMALL, JR",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "317-422-5490",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Legal Medicine",
            "state": "IN",
            "license": "01022870A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAXONOMY",
            "identifier": "17300000X",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100151110A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS",
            "identifier": "87581",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "11068524",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Generations Counseling Services, LLC
• Genixa Medical Billing LLC
• Genoa Healthcare LLC
• Catherine M. Gentry, LCSW
• Lelani M Gentry
• George Vesper
• Gregory R George, LCAC, CADACIV
• Rebekah George, LMHC
• Sunu George, M.D.
• Yanoula Maria Georgiadis

• Legal Medicine in Greenwood, IN
• Providers in Greenwood, IN by specialty
• Legal Medicine in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2008; 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.