Active NPI
George Hevesy, MD
- Emergency Medicine Physician
- Rock Island, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 036067438
- Practice address
- 2701 17TH St
Rock Island, IL 61201-5351 - Phone
- (309) 779-5000
- NPI assigned
- Mar 24, 2006
- 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 036067438 | IL | Primary |
Addresses
Primary practice location
2701 17TH St
Rock Island, IL 61201-5351
Mailing address
2701 17TH St
Rock Island, IL 61201-5351
Phone (309) 779-5000
Other identifiers 11
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2924670 | Medicaid | IL | |
| K02867 | Other | IL | WPS |
| 98154 | Other | BCWELLMARK 7TH | |
| 1924670 | Medicaid | IA | |
| 362739299-001 | Other | TRICARE/HEALTH NET | |
| 143260 | Other | IHS | |
| IL0181 | Other | JOHN DEERE | |
| 036067438 | Other | BCILLINOIS | |
| 91489 | Other | BCWELLMARK WEST | |
| 036067438 | Medicaid | IL | |
| 930031168 | Other | RR MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036067438 | IL | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Osf Multi-Specialty Group | Current | Accepting new patients | |
| Central PA Pharmacy LLC. | Current | Accepting new patients |
Locations
1 Saint Anthonys Way
Alton, IL 62002
Phone (618) 233-6870
3333 N Seminary St
Galesburg, IL 61401
Phone (309) 344-3161
1000 W Harlem Ave
Monmouth, IL 61462
Phone (309) 734-1414
8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050
530 NE Glen Oak Ave
Peoria, IL 61637
Phone (309) 655-2553
2500 W Reynolds St
Pontiac, IL 61764
Phone (815) 842-2828
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.
-
- Internal Medicine Physician
- Peoria, IL
- NPI 1922445527
-
- Community/Retail Pharmacy
- Patton, PA
- NPI 1578541413
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1193788800000",
"number": "1881654937",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2701 17TH ST",
"city": "ROCK ISLAND",
"state": "IL",
"postal_code": "612015351",
"telephone_number": "309-779-5000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2701 17TH ST",
"city": "ROCK ISLAND",
"state": "IL",
"postal_code": "612015351",
"telephone_number": "309-779-5000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEVESY",
"first_name": "GEORGE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-24",
"last_updated": "2007-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "IL",
"license": "036067438",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2924670",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WPS",
"identifier": "K02867",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCWELLMARK 7TH",
"identifier": "98154",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1924670",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE/HEALTH NET",
"identifier": "362739299-001",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IHS",
"identifier": "143260",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "JOHN DEERE",
"identifier": "IL0181",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCILLINOIS",
"identifier": "036067438",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCWELLMARK WEST",
"identifier": "91489",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036067438",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "930031168",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rock Island, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2007; 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.