Individual provider Active NPI

George Madson Kemper Jr., D.P.M.

  • Podiatrist
  • Canton, OH
National Provider Identifier
1871675009
Registry record updated Mar 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
36002917 Issued in OH
Practice address
5454 Fulton Dr NW
Canton, OH 44718-1727
Phone
(330) 433-0123
Fax
(330) 433-0702
NPI assigned
Oct 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 36002917 OH Primary

Addresses

Primary practice location

5454 Fulton Dr NW
Canton, OH 44718-1727

Mailing address

5454 Fulton Dr NW
Canton, OH 44718-1727
Phone (330) 433-0123

Other identifiers 1

IdentifierTypeStateIssuer
0251730MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050525000007 OH Practitioner - Podiatry 6002858685 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

129 Wenger Rd N
Suite a
Dalton, OH 44618-9056
Phone (330) 828-0123

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of nail tissue1676
Removal or shaving of skin growth31

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
36002917OHMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
George M Kemper Jr DPM Inc Podiatrist CurrentSince Jul 1, 2000 Accepting new patients
George M Kemper, Jr DPM Inc Podiatrist CurrentSince Apr 1, 2005 Accepting new patients

Locations

5454 Fulton Dr NW
Canton, OH 44718
Phone (330) 433-0123

129 Wenger Rd N
Ste A
Dalton, OH 44618
Phone (330) 828-0123

Organizations & group practices 2

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 2

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

NPI Registry JSON

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458604800000",
    "number": "1871675009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5454 FULTON DR NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447181727",
            "telephone_number": "330-433-0123",
            "fax_number": "330-433-0702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5454 FULTON DR NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447181727",
            "telephone_number": "330-433-0123",
            "fax_number": "330-433-0702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEMPER",
        "first_name": "GEORGE",
        "middle_name": "MADSON",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-19",
        "last_updated": "2016-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "OH",
            "license": "36002917",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0251730",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, OH

Sources for this page

Verify at the official NPI Registry.