Active NPI
Donald L George, M.D.
- Surgery Physician
- Gig Harbor, WA
National Provider Identifier
1548207988
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- MD00024466
- Practice address
- 4700 Point Fosdick Dr NW
Ste 203-a
Gig Harbor, WA 98335-1706 - Phone
- (253) 857-1120
- Fax
- (253) 857-1121
- NPI assigned
- Jun 2, 2006
- Last updated
- Nov 18, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | MD00024466 | WA | |
| Surgery Physician | 208600000X | MD00024466 | WA | Primary |
Addresses
Primary practice location
4700 Point Fosdick Dr NW
Ste 203-a
Gig Harbor, WA 98335-1706
Mailing address
4700 Point Fosdick Dr NW
Ste 203-a
Gig Harbor, WA 98335-1706
Phone (253) 857-1120
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0248294 | Other | WA | STATE L&I |
| 020007512 | Other | WA | RAILROAD MEDICARE |
| 01326 | Other | WA | L&I |
| 0257524 | Other | WA | STATE L&I |
| 0248300 | Other | WA | STATE L&I |
| 1029941 | Medicaid | WA |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1321574400000",
"number": "1548207988",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4700 POINT FOSDICK DR NW",
"address_2": "STE 203-A",
"city": "GIG HARBOR",
"state": "WA",
"postal_code": "983351706",
"telephone_number": "253-857-1120",
"fax_number": "253-857-1121"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4700 POINT FOSDICK DR NW",
"address_2": "STE 203-A",
"city": "GIG HARBOR",
"state": "WA",
"postal_code": "983351706",
"telephone_number": "253-857-1120",
"fax_number": "253-857-1121"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GEORGE",
"first_name": "DONALD",
"middle_name": "L",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-02",
"last_updated": "2011-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "WA",
"license": "MD00024466",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "WA",
"license": "MD00024466",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE L&I",
"identifier": "0248294",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "020007512",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "L&I",
"identifier": "01326",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE L&I",
"identifier": "0257524",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE L&I",
"identifier": "0248300",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1029941",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Gig Harbor, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.