Individual provider Active NPI

Theresa George, DO

  • Emergency Medicine Physician
  • Philadelphia, PA
National Provider Identifier
1871939728
Registry record updated Sep 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
OS020263 Issued in PA
Practice address
700 Spruce St BSMT West
Philadelphia, PA 19106-4022
Phone
(215) 829-3264
Fax
(215) 829-8044
NPI assigned
May 20, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X OS020263 PA Primary

Addresses

Primary practice location

700 Spruce St BSMT West
Philadelphia, PA 19106-4022

Mailing address

700 Spruce St BSMT West
Philadelphia, PA 19106-4022
Phone (215) 829-3264

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20190702002124 NY Practitioner - Emergency Medicine 4486925237 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Philadelphia College of Osteopathic Medicine, 2013
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Montefiore Medical CenterGroup PAC ID 3779496021, 2,809 clinicians

Practice addresses (Care Compare)

111 E 210TH St
Bronx, NY 10467-2401
Phone (866) 633-8255

Hospital & facility affiliations

  • Kings County Hospital Center Hospital, Brooklyn, NY, CCN 330202
  • Montefiore Medical Center Hospital, Bronx, NY, CCN 330059

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS020263PAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Icahn School of Medicine at Mount Sinai Current Accepting new patients
Fpa Hospital Based CurrentSince Oct 1, 2022 Accepting new patients
Icahn School of Medicine at Mount Sinai Emergency Medicine CurrentSince Oct 1, 2022 Accepting new patients
Emergency Physician Services of New York, P.C. Emergency Medicine CurrentSince Jun 18, 2019 Accepting new patients
Icahn School of Medicine at Mount Sinai Emergency Medicine CurrentSince Oct 1, 2022 Accepting new patients
University of Penn-Medical Group Current Accepting new patients
Montefiore Medical Center CurrentSince Sep 11, 2023 Accepting new patients
Emergency Care Services of New York, P.C. Emergency Medicine CurrentSince Jun 18, 2019 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Oct 1, 2022 Accepting new patients
Fpa Hospital Based Current Accepting new patients
Montefiore Medical Center Emergency Medicine CurrentSince Sep 11, 2023 Accepting new patients
Fpa Hospital Based Emergency Medicine CurrentSince Oct 1, 2022 Accepting new patients
Buffalo Emergency Associates LLP Emergency Medicine CurrentSince Mar 10, 2020 Accepting new patients
Drexel University College of Medicine Past Accepting new patients

Locations

111 E 210th St
Bronx, NY 10467

3201 Kings Hwy
Brooklyn, NY 11234
Phone (718) 252-3000

2605 Harlem Rd
Cheektowaga, NY 14225
Phone (716) 891-2315

2510 30th Ave
Long Island City, NY 11102
Phone (718) 267-4245

638 Columbus Ave
New York, NY 10024
Phone (212) 523-8672

1000 10th Ave
New York, NY 10019
Phone (212) 523-2369

321 Genesee St
Oneida, NY 13421
Phone (315) 361-2020

1500 N James St
Rome, NY 13440
Phone (315) 338-7000

5300 Military Rd
Stela Niagara, NY 14092
Phone (716) 297-4800

2209 Genesee St
Utica, NY 13501
Phone (315) 798-8100

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722

Organizations & group practices 14

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.

View all 14

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": "1369008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600387200000",
    "number": "1871939728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 SPRUCE ST BSMT WEST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191064022",
            "telephone_number": "215-829-3264",
            "fax_number": "215-829-8044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 SPRUCE ST BSMT WEST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191064022",
            "telephone_number": "215-829-3264",
            "fax_number": "215-829-8044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEORGE",
        "first_name": "THERESA",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-20",
        "last_updated": "2020-09-18",
        "certification_date": "2020-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PA",
            "license": "OS020263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.