Organization Active NPI

Sharon George DO Inc

  • Family Medicine Physician
  • Warren, OH
National Provider Identifier
1346458379
Registry record updated Jun 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
34005112 Issued in OH
Legal business name
SHARON GEORGE DO INC
Practice address
420 Southern Blvd NW
Warren, OH 44485-2537
Phone
(330) 898-4300
Fax
(330) 898-5828
NPI assigned
May 21, 2007
Organization subpart
Yes
Parent organization
SHARON GEORGE DO INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 6, 2024

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

Authorized official

Name
Mrs. Sharon Laverne George, D.O.NPI 1942292461
Title
Owner
Phone
(330) 718-1444

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 34005112 OH Primary

Addresses

Primary practice location

420 Southern Blvd NW
Warren, OH 44485-2537

Mailing address

420 Southern Blvd NW
Warren, OH 44485-2537
Phone (330) 898-4300

Other identifiers 4

IdentifierTypeStateIssuer
000000168372OtherOHANTHEM
010044662OtherOHRAILROAD MEDICARE
1346458379OtherOHWORKERS COMPENSATION
2980207MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101119000979 OH Part B Supplier - Clinic/Group Practice 3072709773 Receives reassigned benefits from 1 practitioner
Practice locations: Warren, OH

National Provider Directory

National Provider Directory
Part of
Sharon George DO Inc

Locations

420 Southern Blvd NW
Warren, OH 44485
Phone (330) 898-4300

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717632000000",
    "number": "1346458379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 SOUTHERN BLVD NW",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444852537",
            "telephone_number": "330-898-4300",
            "fax_number": "330-898-5828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 SOUTHERN BLVD NW",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444852537",
            "telephone_number": "330-898-4300",
            "fax_number": "330-898-5828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHARON GEORGE DO INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SHARON GEORGE DO INC",
        "enumeration_date": "2007-05-21",
        "last_updated": "2024-06-06",
        "certification_date": "2024-06-06",
        "status": "A",
        "authorized_official_last_name": "GEORGE",
        "authorized_official_first_name": "SHARON",
        "authorized_official_middle_name": "LAVERNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "330-718-1444",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34005112",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000168372",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "010044662",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORKERS COMPENSATION",
            "identifier": "1346458379",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2980207",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.