Gimg

Primary specialty

Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X

Legal business name

GIMG

Practice address

1032 College St
Oxford, NC 27565-2507

Phone

(919) 693-6541

Fax

(919) 693-7396

NPI assigned

Oct 27, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Georgeen Ertischek, RN CPC

Title

Insurance Processor

Phone

(919) 693-6541

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210723200000",
    "number": "1427134196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1032 COLLEGE ST",
            "city": "OXFORD",
            "state": "NC",
            "postal_code": "275652507",
            "telephone_number": "919-693-6541",
            "fax_number": "919-693-7396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1032 COLLEGE ST",
            "city": "OXFORD",
            "state": "NC",
            "postal_code": "275652507",
            "telephone_number": "919-693-6541",
            "fax_number": "919-693-7396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GIMG",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-27",
        "last_updated": "2008-05-14",
        "status": "A",
        "authorized_official_last_name": "ERTISCHEK",
        "authorized_official_first_name": "GEORGEEN",
        "authorized_official_title_or_position": "INSURANCE PROCESSOR",
        "authorized_official_telephone_number": "919-693-6541",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN CPC"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Geriatric Medicine (Internal Medicine) Physician in Oxford, NC
• Providers in Oxford, NC by specialty
• Geriatric Medicine (Internal Medicine) Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2008; 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.