NPIMap

Organization Active NPI

George L Rodriguez MD PC

Doing business as Injury Rehabilitation Centers of Pennsylvania

  • Physical Medicine & Rehabilitation Physician
  • Norristown, PA
National Provider Identifier
1417162223
Registry record updated Jun 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
GEORGE L RODRIGUEZ MD PC
Doing business as
Injury Rehabilitation Centers of Pennsylvania
Practice address
107 E Main St
Norristown, PA 19401-4913
Phone
(610) 278-6707
Fax
(610) 278-6709
NPI assigned
May 14, 2007
Last updated
Jun 24, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2009

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

Authorized official

Name
Ellen C. Bamba
Title
Administrative Director
Phone
(215) 425-1500

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD 045274E PA
Internal Medicine Physician 207R00000X NU
Physical Medicine & Rehabilitation Physician 208100000X MD 036647E PA
Physical Medicine & Rehabilitation Physician 208100000X NU Primary

Addresses

Primary practice location

107 E Main St
Norristown, PA 19401-4913

Mailing address

841 E Allegheny Ave
Philadelphia, PA 19134-2401
Phone (215) 425-1500

Other identifiers 2

IdentifierTypeStateIssuer
045575900OtherPAINDEPENDENCE BLUE CROSS/PERSONAL CHOICE
626086OtherPAHIGHMARK BLUE SHIELD

Other names 1

  • Injury Rehabilitation Centers of Pennsylvania Doing business as

National Provider Directory

National Provider Directory
Tax ID family
George L Rodriguez MD PC28 organizations share this tax ID, including this one

Other organizations with this tax ID 27

Organizations that report the same tax identification number in the National Provider Directory.

View all 27

Locations

107 E Main St
Norristown, PA 19401
Phone (610) 278-6707

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245801600000",
    "number": "1417162223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "841 E ALLEGHENY AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191342401",
            "telephone_number": "215-425-1500",
            "fax_number": "215-425-1659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 E MAIN ST",
            "city": "NORRISTOWN",
            "state": "PA",
            "postal_code": "194014913",
            "telephone_number": "610-278-6707",
            "fax_number": "610-278-6709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGE L RODRIGUEZ MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-14",
        "last_updated": "2009-06-24",
        "status": "A",
        "authorized_official_last_name": "BAMBA",
        "authorized_official_first_name": "ELLEN",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "ADMINISTRATIVE DIRECTOR",
        "authorized_official_telephone_number": "215-425-1500"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD 045274E",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "PA",
            "license": "MD 036647E",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENCE BLUE CROSS/PERSONAL CHOICE",
            "identifier": "045575900",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "626086",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Injury Rehabilitation Centers of Pennsylvania",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Norristown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2009; 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.