Individual provider Active NPI

Phyllis George, RN, MA, FNP

  • Surgery Physician
  • Poughkeepsie, NY
National Provider Identifier
1336241249
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
189398 Issued in NY
Practice address
110 Main St
Suite 2C
Poughkeepsie, NY 12601-6707
Phone
(845) 452-2120
Fax
(845) 452-2104
NPI assigned
Sep 1, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 189398 NY Primary

Addresses

Primary practice location

110 Main St
Suite 2C
Poughkeepsie, NY 12601-6707

Mailing address

110 Main St
Suite 2C
Poughkeepsie, NY 12601-6707
Phone (845) 452-2120

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
Master of Arts, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
189398NYMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Francis Hospital / Medicine Past Accepting new patients
Dmitri Alden, MD,PC PastSince Nov 1, 2003 Accepting new patients

Organizations & group practices 2

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": "1157068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1336241249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 MAIN ST",
            "address_2": "SUITE 2C",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126016707",
            "telephone_number": "845-452-2120",
            "fax_number": "845-452-2104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 MAIN ST",
            "address_2": "SUITE 2C",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126016707",
            "telephone_number": "845-452-2120",
            "fax_number": "845-452-2104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEORGE",
        "first_name": "PHYLLIS",
        "credential": "RN, MA, FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NY",
            "license": "189398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Poughkeepsie, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.