George Lee Markwardt, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

334948 Issued in NY

Practice address

55 Central PLZ
Ilion, NY 13357-1701

Phone

(315) 894-0071

Fax

(315) 894-0078

NPI assigned

May 23, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• New York Em-III Medical Services, PC

  • Internal Medicine Physician
  • Utica, NY
  • NPI 1851503643
  NPD (past)
• Nursing Home Services Inc

  • Geriatric Medicine (Family Medicine) Physician
  • Utica, NY
  • NPI 1467548925
  NPD (past)

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

{
    "created_epoch": "1116806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298851200000",
    "number": "1407859622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 CENTRAL PLZ",
            "city": "ILION",
            "state": "NY",
            "postal_code": "133571701",
            "telephone_number": "315-894-0071",
            "fax_number": "315-894-0078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 CENTRAL PLZ",
            "city": "ILION",
            "state": "NY",
            "postal_code": "133571701",
            "telephone_number": "315-894-0071",
            "fax_number": "315-894-0078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARKWARDT",
        "first_name": "GEORGE",
        "middle_name": "LEE",
        "name_prefix": "Mr.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-23",
        "last_updated": "2011-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "334948",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "460581",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02625285",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• William Thomson Lennox, RPH
• Lynn R Henry Optometrist PC
• Jacquelyn Nicole Macintire, PHARM D
• Michael Malhiwsky, RPH
• Amy S. Manning, P.T.
• Melinda Mary Marley, SPEECH PATHOLOGIST
• Kayleigh Nicole Marosek, CLC
• Stephen D May, DDS
• Denise McVay, MPT
• Jennifer P Melnick, RN

• All providers in Ilion, NY
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2011; 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.