Individual provider Active NPI

Antony M George, M.D.

  • Public Health & General Preventive Medicine Physician
  • Rocky River, OH
National Provider Identifier
1366443541
Registry record updated Dec 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health & General Preventive Medicine PhysicianTaxonomy code 2083P0901X
License
35064060 Issued in OH
Practice address
20575 Center Ridge Rd
Rocky River, OH 44116-3422
Phone
(440) 403-9506
Fax
(440) 403-9507
NPI assigned
Aug 10, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Preventive Medicine) Physician 2083S0010X 35064060 OH
Public Health & General Preventive Medicine Physician 2083P0901X 35064060 OH Primary

Addresses

Primary practice location

20575 Center Ridge Rd
Rocky River, OH 44116-3422

Mailing address

20575 Center Ridge Rd
Rocky River, OH 44116-3422
Phone (440) 403-9506

Other identifiers 1

IdentifierTypeStateIssuer
0993368MedicaidOH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040923000650 OH Practitioner - Preventive MedicinePractitioner - General PracticePractitioner - Sports Medicine 0749258085 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Preventive MedicineAlso: Sports Medicine
Education
University of Toledo College of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Premier Physicians Centers IncGroup PAC ID 0345153326, 50 clinicians

Practice addresses (Care Compare)

25200 Ctr Ridge Rd
Westlake, OH 44145-4142

25200 Ctr Ridge Rd
Suite 2300
Westlake, OH 44145-4148
Phone (440) 331-5053

25200 Ctr Ridge Rd
Suite 2400
Westlake, OH 44145-4152
Phone (440) 333-3332

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35064060OHMDPublic Health & General Preventive Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Health Express Urgent Care Centers,LLC CurrentSince Nov 20, 2015 Accepting new patients
Premier Physicians Centers, Inc. CurrentSince Nov 1, 2022 Accepting new patients
Premier Physicians Centers Inc CurrentSince Nov 1, 2022 Accepting new patients
Antony M George MD MPH LLC Public Health & General Preventive Medicine Past Accepting new patients
Southeast Chiropractic and Therapy Center Inc Past Accepting new patients
Antony M George MD MPH LLC Public Health & General Preventive Medicine Past Accepting new patients

Locations

18660 Bagley Rd
Ste 200
Middleburg Heights, OH 44130
Phone (440) 845-7272

18697 Bagley Rd
Middleburg Heights, OH 44130
Phone (440) 816-8000

18660 Bagley Rd
Bldg B
Middleburg Heights, OH 44130

1400 W Pleasant Valley Rd
Parma, OH 44134
Phone (440) 334-7173

20575 Center Ridge Rd
Rocky River, OH 44116
Phone (216) 404-1901

24500 Center Ridge Rd
Ste 375
Westlake, OH 44145
Phone (440) 467-1954

25200 Center Ridge Rd
Ste 3300
Westlake, OH 44145
Phone (440) 290-4700

25200 Center Ridge Rd
Ste 2500
Westlake, OH 44145
Phone (440) 895-5076

25200 Center Ridge Rd
Ste 2600
Westlake, OH 44145
Phone (440) 331-5488

25200 Center Ridge Rd
Ste 2300
Westlake, OH 44145
Phone (440) 331-5053

Organizations & group practices 10

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": "1123632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670976000000",
    "number": "1366443541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20575 CENTER RIDGE RD",
            "city": "ROCKY RIVER",
            "state": "OH",
            "postal_code": "441163422",
            "telephone_number": "440-403-9506",
            "fax_number": "440-403-9507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20575 CENTER RIDGE RD",
            "city": "ROCKY RIVER",
            "state": "OH",
            "postal_code": "441163422",
            "telephone_number": "440-403-9506",
            "fax_number": "440-403-9507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEORGE",
        "first_name": "ANTONY",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-10",
        "last_updated": "2022-12-14",
        "certification_date": "2022-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083S0010X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Sports Medicine",
            "state": "OH",
            "license": "35064060",
            "primary": false
        },
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "OH",
            "license": "35064060",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0993368",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rocky River, OH

Sources for this page

Verify at the official NPI Registry.