Active NPI
George Phillip Naum III, DO
- Family Medicine Physician
- Wheeling, WV
National Provider Identifier
1902818743
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(4) exclusion effective Jul 20, 2020.
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 1308
- Practice address
- 31 Fieldcrest Ave
Wheeling, WV 26003-5645 - Phone
- (304) 780-9114
- Fax
- (304) 780-9114
- NPI assigned
- Aug 12, 2006
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 1308 | WV | Primary |
Addresses
Primary practice location
31 Fieldcrest Ave
Wheeling, WV 26003-5645
Mailing address
31 Fieldcrest Ave
Wheeling, WV 26003
Phone (304) 780-9114
Other practice location 1
1327 Clark St
Cambridge, OH 43725-9614
Phone (740) 439-0150
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0053859000 | Medicaid | WV | |
| P00097849 | Other | RAILROAD MEDICARE | |
| 0883905 | Medicaid | OH |
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)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1308 | WV | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Khoury Surgical Group, Inc. | Single Specialty | 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.
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Wheeling, WV
- NPI 1164572699
Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155340800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1542326400000",
"number": "1902818743",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "31 FIELDCREST AVE",
"city": "WHEELING",
"state": "WV",
"postal_code": "26003",
"telephone_number": "304-780-9114",
"fax_number": "304-242-2555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "31 FIELDCREST AVE",
"city": "WHEELING",
"state": "WV",
"postal_code": "260035645",
"telephone_number": "304-780-9114",
"fax_number": "304-780-9114"
}
],
"practiceLocations": [
{
"address_1": "1327 Clark St",
"address_purpose": "LOCATION",
"city": "Cambridge",
"state": "OH",
"postal_code": "437259614",
"country_code": "US",
"telephone_number": "740-439-0150",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NAUM",
"first_name": "GEORGE",
"middle_name": "PHILLIP",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-12",
"last_updated": "2018-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "WV",
"license": "1308",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0053859000",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00097849",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0883905",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wheeling, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.