Individual provider Active NPI

George A. Namey, D.O.

  • Family Medicine Physician
  • Newark, DE
National Provider Identifier
1346247699
Registry record updated Feb 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
C2-0003321 Issued in DE
Practice address
2600 Glasgow Ave
Suite 124
Newark, DE 19702-4777
Phone
(302) 836-4200
Fax
(302) 836-8431
NPI assigned
Jul 1, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2015

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 C2-0003321 DE Primary

Addresses

Primary practice location

2600 Glasgow Ave
Suite 124
Newark, DE 19702-4777

Mailing address

405 Silverside Rd
Suite 111
Wilmington, DE 19809-1774
Phone (302) 798-0666

Other identifiers 1

IdentifierTypeStateIssuer
0000209303MedicaidDE

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
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
C2-0003321DEMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Koniver Fiss Mansoory MD PA Past Accepting new patients

Organizations & group practices 1

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": "1120176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422835200000",
    "number": "1346247699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 SILVERSIDE RD",
            "address_2": "SUITE 111",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198091774",
            "telephone_number": "302-798-0666",
            "fax_number": "302-798-4905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 GLASGOW AVE",
            "address_2": "SUITE 124",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197024777",
            "telephone_number": "302-836-4200",
            "fax_number": "302-836-8431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAMEY",
        "first_name": "GEORGE",
        "middle_name": "A.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-01",
        "last_updated": "2015-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "DE",
            "license": "C2-0003321",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000209303",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2015; 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.