Ben George, CO

Primary specialty

OrthotistTaxonomy code 222Z00000X

License

CO004897 Issued in WA

Practice address

1901 South Union Ave
#B-6007
Tacoma, WA 98405-1806

Phone

(253) 383-0094

Fax

(253) 383-0669

NPI assigned

Mar 10, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1236643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326153600000",
    "number": "1669613360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 SOUTH UNION",
            "address_2": "#B-6007",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984051806",
            "telephone_number": "253-383-0094",
            "fax_number": "253-383-0669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 SOUTH UNION AVE",
            "address_2": "#B-6007",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984051806",
            "telephone_number": "253-383-0094",
            "fax_number": "253-383-0669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEORGE",
        "first_name": "BEN",
        "credential": "CO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-03-10",
        "last_updated": "2012-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "222Z00000X",
            "taxonomy_group": "",
            "desc": "Orthotist",
            "state": "WA",
            "license": "CO004897",
            "primary": true
        },
        {
            "code": "225000000X",
            "taxonomy_group": "",
            "desc": "Orthotic Fitter",
            "state": "WA",
            "license": "CO004897",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• George C. Brain DDS PC
• Glenda Sablan George-Concepcion, PH.D.
• Adam George, MD
• Allison George, PHARMD, BCPS
• Alyssa Denae George
• Kimberly Carol George, P.T.A
• Roger K George, MD
• Sarah Marion George
• Sean George, DO
• Fadi Georges

• Orthotist in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Orthotist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2012; 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.