NPIMap

Individual provider Active NPI

Gregory Anthony George, M.D.

  • Adult Medicine Physician
  • Sharon, PA
National Provider Identifier
1417909243
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
MD039698L Issued in PA
Practice address
62 Strawbridge Ave
Sharon, PA 16146-3234
Phone
(724) 347-2955
Fax
(724) 347-4664
NPI assigned
May 17, 2006
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine Physician 207QA0505X MD039698L PA Primary

Addresses

Primary practice location

62 Strawbridge Ave
Sharon, PA 16146-3234

Mailing address

62 Strawbridge Ave
Sharon, PA 16146-3234
Phone (724) 347-2955

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, OH2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050420000126 PA Practitioner - Family Practice 7618915729 Reassigns benefits to 2 organizations
I20061013000312 OH Practitioner - Family PracticePractitioner - Internal Medicine 7618915729 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Primary Care ServicesGroup PAC ID 0244452258, 32 clinicians

Practice addresses (Care Compare)

62 Strawbridge Ave
Sharon, PA 16146-3234
Phone (724) 347-2955

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD039698LPAMDAdult Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Steward Medical Group, Inc CurrentSince Feb 3, 2018 Accepting new patients
Steward Medical Group Inc. CurrentSince Feb 3, 2018 Accepting new patients
Primary Care Services Adult Medicine CurrentSince Jan 1, 2025 Accepting new patients
Embassy Hermitage, LLC Past Accepting new patients
Embassy Sharon, LLC Past Accepting new patients
John Xxiii Home Past Accepting new patients
Steward Sharon Regional Health System, Inc. Past Accepting new patients
John Balko and Associates Inc PastSince Jan 1, 2000 Accepting new patients

Locations

1350 E Market St
Warren, OH 44483
Phone (330) 841-5969

12387 Conneaut Lake Rd
Conneaut Lake, PA 16316
Phone (814) 373-4298

1034 Grove St
Meadville, PA 16335
Phone (814) 333-5728

62 Strawbridge Ave
Sharon, PA 16146
Phone (724) 347-2955

951 Male Rd
Wind Gap, PA 18091
Phone (610) 654-1000

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Hermitage Nursing and RehabilitationHermitage, PA, CCN 395231 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Mar 1, 2020
Mar 1, 2020

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

  • Embassy Hermitage, LLC

    dba Hermitage Nursing and Rehabilitation

    • Skilled Nursing Facility
    • Hermitage, PA
    • NPI 1124648878

    Adp of the SNF, Operational/Managerial Control

    CMS ownership

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1417909243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "62 STRAWBRIDGE AVE",
            "city": "SHARON",
            "state": "PA",
            "postal_code": "161463234",
            "telephone_number": "724-347-2955",
            "fax_number": "724-347-4664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "62 STRAWBRIDGE AVE",
            "city": "SHARON",
            "state": "PA",
            "postal_code": "161463234",
            "telephone_number": "724-347-2955",
            "fax_number": "724-347-4664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEORGE",
        "first_name": "GREGORY",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "PA",
            "license": "MD039698L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sharon, PA

Sources for this page

Verify at the official NPI Registry.