NPIMap

Marie Renee George Williams, D.O.

Individual provider Active NPI Family Medicine Physician · Latrobe, PA

NPI 1689023079 · NPPES record last updated Aug 12, 2019

Key facts

NPI
1689023079
Entity type
Individual (NPI type 1)
Primary specialty
Family Medicine Physician 207Q00000X
License
OS018986 (PA)
Practice address
One Mellon Way
Latrobe, PA 15650-1197
Phone
(724) 537-1207
NPI assigned
Jun 7, 2016
Sex
Female
Sole proprietor
No

Organizations & group practices 5

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.

Hospital & facility affiliations 19

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Medicare Care Compare profile

Specialty
Family Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Excela Health Physician Practices, Inc (474 clinicians)

Practice addresses (Care Compare)

1 Mellon Way
Latrobe, PA 15650-1197
Phone (724) 537-1801

Hospital & facility affiliations

  • Excela Health Home Care & Hospice Home health agency · Greensburg, PA · CCN 397090
  • Excela Health Latrobe Hospital Hospital · Latrobe, PA · CCN 390219
  • Excela Health Westmoreland Regional Hospital Hospital · Greensburg, PA · CCN 390145
  • Excela Health - Frick Hospital Hospital · Mount Pleasant, PA · CCN 390217

Medicare participation

Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20190729002947 PA Practitioner - Family Practice 8224320270 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Excela Health Physician Practices, Inc Current Accepting new patients
Excela Health Physician Practices, Inc. Family Medicine Current
since Aug 6, 2019		 Accepting new patients
Excela Health Physician Practices, Inc. Family Medicine Current
since Aug 6, 2019		 Accepting new patients
Latrobe Area Hospital, Inc. Past Accepting new patients
Excela Health Physician Practices, Inc Past Accepting new patients

Locations

532 W Pittsburgh St
Greensburg, PA 15601
Phone (724) 832-4000

134 Industrial Park Rd
Ste 1500
Greensburg, PA 15601

100 Excela Health Dr
Ste 301
Latrobe, PA 15650
Phone (724) 537-1480

1 Mellon Way
Latrobe, PA 15650
Phone (724) 537-1207

Interoperability endpoints

  • Direct secure messaging: mariegeorgewilliams@emg.allscriptsdirect.net

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OT016961 PA
Family Medicine Physician 207Q00000X OS018986 PA Yes

Addresses

Primary practice location

One Mellon Way
Latrobe, PA 15650-1197

Mailing address

134 Industrial Park Rd Ste 1500
Greensburg, PA 15601-8153
Phone (724) 850-6933

Other names

  • Dr. Marie Renee George Former name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 12, 2019.

{
    "created_epoch": "1465257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565568000000",
    "number": "1689023079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 INDUSTRIAL PARK RD STE 1500",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "156018153",
            "telephone_number": "724-850-6933",
            "fax_number": "724-522-4002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ONE MELLON WAY",
            "city": "LATROBE",
            "state": "PA",
            "postal_code": "156501197",
            "telephone_number": "724-537-1207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEORGE WILLIAMS",
        "first_name": "MARIE",
        "middle_name": "RENEE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-07",
        "last_updated": "2019-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OT016961",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS018986",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIE",
            "last_name": "GEORGE",
            "middle_name": "RENEE",
            "prefix": "DR.",
            "credential": "D.O.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Latrobe, PA

All providers in Latrobe, PA · Family Medicine Physician in Pennsylvania

Sources for this page

Verify at the official NPI Registry.