George O. Paddock, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

C4362 Issued in AR

Practice address

21 Crestview PLZ
Jacksonville, AR 72076-4341

Phone

(501) 985-0616

Fax

(501) 985-0715

NPI assigned

Feb 22, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1140566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266969600000",
    "number": "1407821374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 CRESTVIEW PLZ",
            "city": "JACKSONVILLE",
            "state": "AR",
            "postal_code": "720764341",
            "telephone_number": "501-985-0616",
            "fax_number": "501-985-0715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 CRESTVIEW PLZ",
            "city": "JACKSONVILLE",
            "state": "AR",
            "postal_code": "720764341",
            "telephone_number": "501-985-0616",
            "fax_number": "501-985-0715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PADDOCK",
        "first_name": "GEORGE",
        "middle_name": "O.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-22",
        "last_updated": "2010-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "AR",
            "license": "C4362",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "109545001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrea Rena Offord
• Andrew George Orr, D.D.S.
• Raymond Charles Ortega, LPC
• Shannon Marie Overcash, LAC, LAMFT
• Baylee Pack, QBHP
• Michael Bryan Paddock, PTA
• Jerry B Park, OP
• Randy Joseph Pastor, DO
• Chandani Umang Patel, PHARM. D.
• Urvi R Patel

• Ophthalmology Physician in Jacksonville, AR
• Providers in Jacksonville, AR by specialty
• Ophthalmology Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2010; 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.