Active NPI
George Frederick Edeburn, M.D.
- Nuclear Radiology Physician
- Washington Crossing, PA
National Provider Identifier
1760533822
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nuclear Radiology Physician
- License
- 55509
- Practice address
- 36 Van Artsdalen Dr
Washington Crossing, PA 18977-1354 - Phone
- (215) 369-2817
- NPI assigned
- Jan 16, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Nuclear Radiology Physician | 2085N0904X | 55509 | MA | Primary |
Addresses
Primary practice location
36 Van Artsdalen Dr
Washington Crossing, PA 18977-1354
Mailing address
36 Van Artsdalen Dr
Washington Crossing, PA 18977-1354
Phone (215) 369-2817
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 |
|---|---|---|---|
| 55509 | MA | MD | Nuclear Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Midwest Radiology, PA | Past | Accepting new patients | |
| Bucks County Radiology Associates, PC | Nuclear Radiology | Past | Accepting new patients |
| Midwest Radiology Outpatient Imaging, LLC | Past | Accepting new patients |
Organizations & group practices 3
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1760533822",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "36 VAN ARTSDALEN DR",
"city": "WASHINGTON CROSSING",
"state": "PA",
"postal_code": "189771354",
"telephone_number": "215-369-2817"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "36 VAN ARTSDALEN DR",
"city": "WASHINGTON CROSSING",
"state": "PA",
"postal_code": "189771354",
"telephone_number": "215-369-2817"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDEBURN",
"first_name": "GEORGE",
"middle_name": "FREDERICK",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2085N0904X",
"taxonomy_group": "",
"desc": "Radiology, Nuclear Radiology",
"state": "MA",
"license": "55509",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Washington Crossing, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.