Active NPI
George Kendrick Philbeck
- Emergency Medicine Physician
- Fort Collins, CO
National Provider Identifier
1902824733
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 38853
- Practice address
- 1024 S Lemay Ave
Fort Collins, CO 80524-3929 - Phone
- (303) 306-7783
- Fax
- (303) 306-7753
- NPI assigned
- Jul 18, 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 38853 | CO | |
| Family Medicine Physician | 207Q00000X | 36120 | IA | |
| Emergency Medicine Physician | 207P00000X | 36120 | IA | |
| Emergency Medicine Physician | 207P00000X | 38853 | CO | Primary |
Addresses
Primary practice location
1024 S Lemay Ave
Fort Collins, CO 80524-3929
Mailing address
PO Box 912215
Denver, CO 80291-2215
Phone (303) 306-7783
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 20302843 | Medicaid | CO |
Other names 1
- George K Philbeck
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 93.04 of 100
- Quality
- 87.35
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 38853 | CO | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Physicians of the Rockies, PC | Emergency Medicine | Current | Accepting new patients |
| Emergency Physicians of the Rockies, PC | Emergency Medicine | Current | Accepting new patients |
| Vail Clinic, Inc. | Past | Accepting new patients | |
| VVMC Diversified Services | Past | Accepting new patients | |
| Covenant Medical Center Inc | Family Medicine | Past | Accepting new patients |
| Covenant Medical Center, Inc. | Past | Accepting new patients |
Locations
1024 S Lemay Ave
Fort Collins, CO 80524
Phone (970) 495-7000
Organizations & group practices 6
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.
-
- Emergency Medicine Physician
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- NPI 1174570717
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- Emergency Medicine Physician
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- NPI 1285133819
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- Specialist
- Keystone, CO
- NPI 1386725406
-
- Specialist
- Edwards, CO
- NPI 1730279712
-
- Family Medicine Physician
- Waterloo, IA
- NPI 1548288160
-
- Customized Equipment (DME)
- Evansdale, IA
- NPI 1851141980
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1393804800000",
"number": "1902824733",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 912215",
"city": "DENVER",
"state": "CO",
"postal_code": "802912215",
"telephone_number": "303-306-7783",
"fax_number": "303-306-7753"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1024 S LEMAY AVE",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805243929",
"telephone_number": "303-306-7783",
"fax_number": "303-306-7753"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHILBECK",
"first_name": "GEORGE",
"middle_name": "KENDRICK",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-18",
"last_updated": "2014-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CO",
"license": "38853",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IA",
"license": "36120",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "IA",
"license": "36120",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "CO",
"license": "38853",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "20302843",
"state": "CO"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "GEORGE",
"last_name": "PHILBECK",
"middle_name": "K",
"credential": "MD",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Fort Collins, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2014; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.