Active NPI
Jason P George, MD
- Internal Medicine Physician
- Mesquite, TX
National Provider Identifier
1720237365
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- N1327
- Practice address
- 2704 N Galloway Ave
Suite 103
Mesquite, TX 75150-6378 - Phone
- (214) 660-2500
- NPI assigned
- Sep 18, 2008
- Last updated
- Oct 15, 2010
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | N1327 | TX | Primary |
Addresses
Primary practice location
2704 N Galloway Ave
Suite 103
Mesquite, TX 75150-6378
Mailing address
2704 N Galloway Ave
Suite 103
Mesquite, TX 75150-6378
Phone (214) 660-2500
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2008757-01 | Medicaid | TX | |
| 8BU165 | Other | BLUE CROSS BLUE SHIELD OF TEXAS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| N1327 | TX | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lone Star Hma Physician Management, Inc | Internal Medicine | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Internal Medicine Physician
- Mesquite, TX
- NPI 1578882643
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1221696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1287100800000",
"number": "1720237365",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2704 N GALLOWAY AVE",
"address_2": "SUITE 103",
"city": "MESQUITE",
"state": "TX",
"postal_code": "751506378",
"telephone_number": "214-660-2500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2704 N GALLOWAY AVE",
"address_2": "SUITE 103",
"city": "MESQUITE",
"state": "TX",
"postal_code": "751506378",
"telephone_number": "214-660-2500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GEORGE",
"first_name": "JASON",
"middle_name": "P",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-09-18",
"last_updated": "2010-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "N1327",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2008757-01",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD OF TEXAS",
"identifier": "8BU165",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Mesquite, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2010; 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.