Active NPI
George L Sanchez, M.D.
- Pediatrics Physician
- Marianna, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- ME0061139
- Practice address
- 3028 4TH St
B
Marianna, FL 32446-2127 - Phone
- (850) 482-4655
- Fax
- (850) 482-6694
- NPI assigned
- Nov 1, 2006
- Last updated
- Nov 14, 2011
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 036-076516 | IL | |
| Pediatrics Physician | 208000000X | ME0061139 | FL | Primary |
Addresses
Primary practice location
3028 4TH St
B
Marianna, FL 32446-2127
Mailing address
3028 4TH St
B
Marianna, FL 32446-2127
Phone (850) 482-4655
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 370461100 | Medicaid | FL | |
| 018025 | Other | FL | VISTA HEALTHPLAN INC |
| 14785 | Other | FL | BLUE CROSS BLUE SHIELD |
| 004618500 | Other | AETNA | |
| PR16598890001 | Other | CIGNA | |
| 100328242008 | Other | HUMANA | |
| NH112 | Other | FL | HEALTHEASE OF FLORIDA INC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME0061139 | FL | MD | Pediatrics Physician |
| 036-076516 | IL | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwest Florida Healthcare, Inc | Current | Accepting new patients | |
| Northwest Florida Healthcare, Inc | Current | Accepting new patients | |
| George L Sanchez, MD | Pediatrics | Past | Accepting new patients |
Locations
101 E Wisconsin Ave
Bonifay, FL 32425
Phone (850) 547-2209
1360 Brickyard Rd
Chipley, FL 32428
Phone (850) 415-8300
1376 Brickyard Rd
Chipley, FL 32428
Phone (850) 638-0552
3031 6th St
Marianna, FL 32446
Phone (850) 482-2929
Interoperability endpoints
- george.sanchez.1@14612.direct.athenahealth.com
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Critical Access Hospital
- Chipley, FL
- NPI 1336163708
-
- Pediatrics Physician
- Marianna, FL
- NPI 1629106042
-
- Medicare Defined Swing Bed Hospital Unit
- Chipley, FL
- NPI 1659438760
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1321228800000",
"number": "1588741037",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3028 4TH ST",
"address_2": "B",
"city": "MARIANNA",
"state": "FL",
"postal_code": "324462127",
"telephone_number": "850-482-4655",
"fax_number": "850-482-6694"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3028 4TH ST",
"address_2": "B",
"city": "MARIANNA",
"state": "FL",
"postal_code": "324462127",
"telephone_number": "850-482-4655",
"fax_number": "850-482-6694"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANCHEZ",
"first_name": "GEORGE",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-01",
"last_updated": "2011-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "IL",
"license": "036-076516",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "ME0061139",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "370461100",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VISTA HEALTHPLAN INC",
"identifier": "018025",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "14785",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "004618500",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "PR16598890001",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANA",
"identifier": "100328242008",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHEASE OF FLORIDA INC",
"identifier": "NH112",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Marianna, FL
- Rotech Oxygen and Medical Equipment Inc (Rotech)
- Cynthia Jane Rudd, ARNP
- Sadi (Marianna Open MRI)
- Saltzman, Tanis, Pittell, Levin and Jacobson, LLC (Pediatric Associates)
- Bennett Samuels, LCSW
- Nolberto Sanchez, M.D.
- Iris M Santos, DMD
- Stanley Benjamin Saunders, D.M.D.
- Mary Scallorn, ARNP
- Samantha Nicole Scott
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.