Individual provider Active NPI

Earl F George, MD

  • General Practice Physician
  • Wichita, KS
National Provider Identifier
1770545436
Registry record updated Aug 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
04-13518 Issued in KS
Practice address
2535 E Lincoln St
Wichita, KS 67211
Phone
(316) 687-9794
Fax
(316) 689-6957
NPI assigned
Apr 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 04-13518 KS Primary

Addresses

Primary practice location

2535 E Lincoln St
Wichita, KS 67211

Mailing address

2535 E Lincoln St
Wichita, KS 67211-3821
Phone (316) 687-9794

Other practice location 1

1101 E Spring St
Anthony, KS 67003-2122
Phone (620) 842-5144

Other practice location 2

501 N Maize Rd
Wichita, KS 67212-4655
Phone (316) 721-5000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050325000146 KS Practitioner - General Practice 9638125339 Practice locations: Wichita, KS

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Via Christi Rehabilitation, Inc. 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1144281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534464000000",
    "number": "1770545436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2535 E LINCOLN ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672113821",
            "telephone_number": "316-687-9794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2535 E LINCOLN ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "67211",
            "telephone_number": "316-687-9794",
            "fax_number": "316-689-6957"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1101 E Spring St",
            "address_purpose": "LOCATION",
            "city": "Anthony",
            "state": "KS",
            "postal_code": "670032122",
            "country_code": "US",
            "telephone_number": "620-842-5144",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "501 N Maize Rd",
            "address_purpose": "LOCATION",
            "city": "Wichita",
            "state": "KS",
            "postal_code": "672124655",
            "country_code": "US",
            "telephone_number": "316-721-5000",
            "fax_number": "316-721-6604",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GEORGE",
        "first_name": "EARL",
        "middle_name": "F",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-06",
        "last_updated": "2018-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "KS",
            "license": "04-13518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.