NPIMap

Individual provider Active NPI

Tina Marie George, M.D.

  • Family Medicine Physician
  • Dunmore, PA
National Provider Identifier
1285923920
Registry record updated Feb 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD451797 Issued in PA
Practice address
1000 Meade St Ste 102
Dunmore, PA 18512-3195
Phone
(570) 330-5088
NPI assigned
Apr 4, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD451797 PA Primary

Addresses

Primary practice location

1000 Meade St Ste 102
Dunmore, PA 18512-3195

Mailing address

822 McAlpine St
Suite 6
Avoca, PA 18641-1140
Phone (570) 414-1080

Other practice location 1

822 McAlpine St
Suite 6
Avoca, PA 18641-1140
Phone (570) 414-1080

Other identifiers 1

IdentifierTypeStateIssuer
1029433400002MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140815000046 PA Practitioner - Family Practice 6305063397 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Harvard Medical School, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lehigh Valley Physician GroupGroup PAC ID 3072425123, 2,512 clinicians

Practice addresses (Care Compare)

1000 Meade St
Dunmore, PA 18512-3195
Phone (570) 330-5087

Hospital & facility affiliations

  • Allied Services Home Health Home health agency, Clarks Summit, PA, CCN 397167
  • Traditional Home Health Care Home health agency, Dunmore, PA, CCN 397774
  • Geisinger-Community Medical Center Hospital, Scranton, PA, CCN 390001
  • Lehigh Valley Hospital - Dickson City Hospital, Dickson City, PA, CCN 390338
  • Regional Hospital of Scranton Hospital, Scranton, PA, CCN 390237
  • Wilkes-Barre General Hospital Hospital, Wilkes-Barre, PA, CCN 390137
  • Geisinger Wyoming Valley Medical Center Hospital, Wilkes Barre, PA, CCN 390270
  • Allied Services Institute of Rehabilitation Inpatient rehabilitation facility, Scranton, PA, CCN 393030

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Lehigh Valley Physician Group Family Medicine CurrentSince Dec 26, 2023 Accepting new patients
Lehigh Valley Physician Group Family Medicine Current Accepting new patients
Lehigh Valley Physician Group CurrentSince Dec 26, 2023 Accepting new patients

Locations

2100 Mack Blvd
Fl 4
Allentown, PA 18103

1000 Meade St
Ste 102
Dunmore, PA 18512
Phone (570) 330-5087

1000 Meade St
Dunmore, PA 18512
Phone (570) 504-2500

5649 Wynnewood Dr
Ste 104
Laurys Station, PA 18059
Phone (610) 262-6641

1141 Clay Ave
Scranton, PA 18510
Phone (570) 340-2147

Interoperability endpoints

  • Direct secure messaging: tgeorge109371@direct2.lvhn.org

Organizations & group practices 7

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.

Hospital & facility affiliations 38

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 38

NPI Registry JSON

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

{
    "created_epoch": "1301875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707264000000",
    "number": "1285923920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "822 MCALPINE ST",
            "address_2": "SUITE 6",
            "city": "AVOCA",
            "state": "PA",
            "postal_code": "186411140",
            "telephone_number": "570-414-1080",
            "fax_number": "570-414-1099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 MEADE ST STE 102",
            "city": "DUNMORE",
            "state": "PA",
            "postal_code": "185123195",
            "telephone_number": "570-330-5088"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "822 McAlpine St",
            "address_2": "Suite 6",
            "address_purpose": "LOCATION",
            "city": "Avoca",
            "state": "PA",
            "postal_code": "186411140",
            "country_code": "US",
            "telephone_number": "570-414-1080",
            "fax_number": "570-414-1099",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GEORGE",
        "first_name": "TINA MARIE",
        "name_prefix": "Ms.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-04",
        "last_updated": "2024-02-07",
        "certification_date": "2024-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD451797",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1029433400002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dunmore, PA

Sources for this page

Verify at the official NPI Registry.