George Mina, MD

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

105886-1 Issued in NY

Practice address

90 Main St
Potsdam, NY 13676

Phone

(315) 782-2620

Fax

(315) 788-4980

NPI assigned

Oct 3, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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.

• Edward John Noble Hospital of Gouverneur Ny

  • Rural Acute Care Hospital
  • Gouverneur, NY
  • NPI 1316940745
  NPD (past)
• Edward John Noble Hospital of Gouverneur Ny Swing Bed Unit

  • Medicare Defined Swing Bed Hospital Unit
  • Gouverneur, NY
  • NPI 1215031885
  NPD (past)
• St. Lawrence Orthopedics Specialists PC

  • Orthopaedic Surgery Physician
  • Potsdam, NY
  • NPI 1417974163
  NPD (past)

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1578658142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1116 ARSENAL ST, SUITE 504",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "13601",
            "telephone_number": "315-782-2620",
            "fax_number": "315-788-4980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 MAIN ST",
            "city": "POTSDAM",
            "state": "NY",
            "postal_code": "13676",
            "telephone_number": "315-782-2620",
            "fax_number": "315-788-4980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINA",
        "first_name": "GEORGE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NY",
            "license": "105886-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandra Mertz, RN
• Lori Metke
• Michael Tulloch MD LLC
• Kelsey Miller
• Nicholas S Mills
• Mary Alice Minot, P.T.
• Megan Mae Mir, PA-C
• Danielle Mitchell
• Sara Mohaddes, PA-C
• Deborah Molnar, PT

• Orthopaedic Surgery Physician in Potsdam, NY
• Providers in Potsdam, NY by specialty
• Orthopaedic Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.