George Edward Sadowski, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

ME54115 Issued in FL

Practice address

2460 Old Moultrie Rd
St Augustine, FL 32086-4197

Phone

(904) 797-6627

Fax

(904) 797-6028

NPI assigned

Feb 15, 2006

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

Doctor of Medicine

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.

• Old Moultrie Surgical Center Inc

  • Ambulatory Surgical Clinic/Center
  • St Augustine, FL
  • NPI 1144326307
  NPD (past) Authorized official
• Blue Water Doctors of Lake Worth LLC

  • Family Medicine Physician
  • Lake Worth, FL
  • NPI 1326399791
  NPD (past)

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

{
    "created_epoch": "1139961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620259200000",
    "number": "1508830480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2460 OLD MOULTRIE RD",
            "address_2": "STE 1",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320864198",
            "telephone_number": "904-797-6627",
            "fax_number": "904-797-6028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2460 OLD MOULTRIE RD",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320864197",
            "telephone_number": "904-797-6627",
            "fax_number": "904-797-6028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SADOWSKI",
        "first_name": "GEORGE",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-15",
        "last_updated": "2021-05-06",
        "certification_date": "2021-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "FL",
            "license": "ME54115",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME54115",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "062191900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yvette Sabater-Lenk, LCSW
• Elizabeth Sabo, PA-C
• Julia Sachs
• Teresa J Sackmaster, PTA
• Elaine S Sadkowski, LCSW
• Safe Harbor Counseling, Inc
• Sage Chiropractic Wellness Center LLC
• Janice K Sage, D.C.
• Justin Sager, D.O.
• Bashar S Saikaly, MD

• Surgery Physician in St Augustine, FL
• Providers in St Augustine, FL by specialty
• Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2021; 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.