Active NPI
Jacob George, MD
- Orthopaedic Surgery Physician
- Clovis, NM
National Provider Identifier
1649220435
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 92-226
- Practice address
- 2421 W. 21St Street
Clovis, NM 88101 - Phone
- (505) 763-9800
- Fax
- (505) 769-1998
- NPI assigned
- May 11, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 92-226 | NM | Primary |
Addresses
Primary practice location
2421 W. 21St Street
Clovis, NM 88101
Mailing address
2421 W. 21St Street
Clovis, NM 88101
Phone (505) 763-9800
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00344928 | Other | NM | RAILROAD MEDICARE PIN |
| F2661 | Medicaid | NM |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 92-226 | NM | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| James R Sawyer MD PC | Past | Accepting new patients | |
| Eastern New Mexico Physicians and Surgeons LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Clinic/Center
- Clovis, NM
- NPI 1114977675
-
- Family Medicine Physician
- Clovis, NM
- NPI 1831268655
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147305600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1254873600000",
"number": "1649220435",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2421 W. 21ST STREET",
"city": "CLOVIS",
"state": "NM",
"postal_code": "88101",
"telephone_number": "505-763-9800",
"fax_number": "505-769-1998"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2421 W. 21ST STREET",
"city": "CLOVIS",
"state": "NM",
"postal_code": "88101",
"telephone_number": "505-763-9800",
"fax_number": "505-769-1998"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GEORGE",
"first_name": "JACOB",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-11",
"last_updated": "2009-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "NM",
"license": "92-226",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE PIN",
"identifier": "P00344928",
"state": "NM"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "F2661",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}Other providers in Clovis, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.