Active NPI
Paula B George, MD
- Pediatrics Physician
- Harrisburg, PA
National Provider Identifier
1326002304
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- MD029465E
- Practice address
- 2645 N Third Street
1St Floor
Harrisburg, PA 17110 - Phone
- (717) 782-6800
- Fax
- (717) 782-6801
- NPI assigned
- Apr 14, 2006
- Last updated
- Mar 17, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | MD029465E | PA | Primary |
Addresses
Primary practice location
2645 N Third Street
1St Floor
Harrisburg, PA 17110
Mailing address
118 Washington St
Harrisburg, PA 17104-1677
Phone (717) 231-8539
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0073385800002 | Medicaid | PA | |
| 434377 | Other | PA | MEDICARE NUMBER |
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD029465E | PA | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144972800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1205712000000",
"number": "1326002304",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "118 WASHINGTON ST",
"city": "HARRISBURG",
"state": "PA",
"postal_code": "171041677",
"telephone_number": "717-231-8539",
"fax_number": "717-231-8588"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2645 N THIRD STREET",
"address_2": "1ST FLOOR",
"city": "HARRISBURG",
"state": "PA",
"postal_code": "17110",
"telephone_number": "717-782-6800",
"fax_number": "717-782-6801"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GEORGE",
"first_name": "PAULA",
"middle_name": "B",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-14",
"last_updated": "2008-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "PA",
"license": "MD029465E",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0073385800002",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE NUMBER",
"identifier": "434377",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Harrisburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.