Leo George, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC011409 Issued in PA

Practice address

7039 W Chester Pike
Upper Darby, PA 19082-1705

Phone

(484) 462-0969

Fax

(484) 466-3248

NPI assigned

Oct 3, 2018

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

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Specialty

Chiropractic

Education

New York Chiropractic College, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Optimal Health and Performance

  • Chiropractor
  • Upper Darby, PA
  • NPI 1043826266
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1538524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655856000000",
    "number": "1568947760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7039 W CHESTER PIKE",
            "city": "UPPER DARBY",
            "state": "PA",
            "postal_code": "190821705",
            "telephone_number": "484-462-0969",
            "fax_number": "484-466-3248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7039 W CHESTER PIKE",
            "city": "UPPER DARBY",
            "state": "PA",
            "postal_code": "190821705",
            "telephone_number": "484-462-0969",
            "fax_number": "484-466-3248"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1101 Twin C Lane",
            "address_2": "Ste 201",
            "address_purpose": "LOCATION",
            "city": "Newark",
            "state": "DE",
            "postal_code": "197132159",
            "country_code": "US",
            "telephone_number": "302-892-9355",
            "fax_number": "302-777-5567",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1326 South Governors Avenue",
            "address_2": "Ste D",
            "address_purpose": "LOCATION",
            "city": "Dover",
            "state": "DE",
            "postal_code": "199044800",
            "country_code": "US",
            "telephone_number": "302-264-9770",
            "fax_number": "302-883-2786",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "757 Pulaski Highway",
            "address_2": "Ste 5",
            "address_purpose": "LOCATION",
            "city": "Bear",
            "state": "DE",
            "postal_code": "197015214",
            "country_code": "US",
            "telephone_number": "302-554-5421",
            "fax_number": "302-544-5019",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1010 Concord Avenue",
            "address_2": "Ste 101",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "DE",
            "postal_code": "198023366",
            "country_code": "US",
            "telephone_number": "302-777-5551",
            "fax_number": "302-777-5567",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GEORGE",
        "first_name": "LEO",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-10-03",
        "last_updated": "2022-06-22",
        "certification_date": "2022-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "DE",
            "license": "F1-0000979",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC011409",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Upper Darby, PA
• Providers in Upper Darby, PA by specialty
• Chiropractor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.