Individual provider Active NPI

George Philip Ciporkin, M.D.

  • Diagnostic Radiology Physician
  • St Petersburg, FL
National Provider Identifier
1477586014
Registry record updated Dec 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
ME77713 Issued in FL
Practice address
475 2ND St N
Unit # 701
St Petersburg, FL 33701-3029
Phone
(727) 365-0906
NPI assigned
Jul 8, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 11, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X ME77713 FL Primary

Addresses

Primary practice location

475 2ND St N
Unit # 701
St Petersburg, FL 33701-3029

Mailing address

475 2ND St N
Unit # 701
St Petersburg, FL 33701-3029
Phone (727) 365-0906

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME77713FLMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Radcare of Texas PLLC Diagnostic Radiology Past Accepting new patients
Imaging Consultants of Findlay, Inc Diagnostic Radiology Past Accepting new patients
Prisma Health-Midlands Past Accepting new patients
Phoenix Radiology, PLLC Diagnostic Radiology PastSince Oct 1, 2015 Accepting new patients
Geisinger Clinic Past Accepting new patients
Geisinger Clinic Selinsgrove Diagnostic Radiology Past Accepting new patients

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228953600000",
    "number": "1477586014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "475 2ND ST N",
            "address_2": "UNIT # 701",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337013029",
            "telephone_number": "727-365-0906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 2ND ST N",
            "address_2": "UNIT # 701",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337013029",
            "telephone_number": "727-365-0906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CIPORKIN",
        "first_name": "GEORGE",
        "middle_name": "PHILIP",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-08",
        "last_updated": "2008-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME77713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 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.