Jacob George, M.D.

Primary specialty

Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X

License

MD016188E Issued in PA

Practice address

9339 Paseo de Valencia St
Fort Myers, FL 33908-9668

Phone

(239) 433-5680

Fax

(239) 433-5680

NPI assigned

Jul 8, 2009

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.

• Flagship Cardiac Vascular and Thoracic Surgery of Erie, PC

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Erie, PA
  • NPI 1053373746
  NPD (past)

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

{
    "created_epoch": "1247011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248048000000",
    "number": "1679702948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9339 PASEO DE VALENCIA ST",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339089668",
            "telephone_number": "239-433-5680",
            "fax_number": "239-433-5680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9339 PASEO DE VALENCIA ST",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339089668",
            "telephone_number": "239-433-5680",
            "fax_number": "239-433-5680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEORGE",
        "first_name": "JACOB",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-07-08",
        "last_updated": "2009-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "PA",
            "license": "MD016188E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cheryl L. Gentry, R.N.
• George P. Fitzgerald III MD
• Alana R George, PT, DPT
• Christina George
• Eva Vertes George, M.D.
• Jeff George
• Lisa George
• Mark C George, PA-C
• Shaqwan George
• Sherin Abraham George, PHARM D

• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 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.

Verify at the official NPI Registry.