Individual provider Active NPI

George J Shervanick II, D.O.

  • Emergency Medicine Physician
  • Woonsocket, RI
National Provider Identifier
1942241088
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
DO00576 Issued in RI
Practice address
115 Cass Ave
Woonsocket, RI 02895-4705
Phone
(401) 769-4100
NPI assigned
Jun 9, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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 DO00576 RI Primary

Addresses

Primary practice location

115 Cass Ave
Woonsocket, RI 02895-4705

Mailing address

115 Cass Ave
Woonsocket, RI 02895-4705
Phone (401) 769-4100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH, MA, ME3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20170718002455 NH Practitioner - Emergency Medicine 0446239933 Reassigns benefits to 1 organization
I20171127002547 MA Practitioner - Emergency Medicine 0446239933 Reassigns benefits to 2 organizations
I20211028000521 ME Practitioner - Emergency Medicine 0446239933 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergency Medicine Services of Maine LLCGroup PAC ID 1052657616, 56 clinicians

Practice addresses (Care Compare)

140 Academy St
Presque Isle, ME 04769-3102
Phone (207) 768-4000

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Neighborhealth Corporation CurrentSince Apr 16, 2018 Accepting new patients
Emergency Medicine Services of NH, LLC Emergency Medicine CurrentSince Apr 1, 2023 Accepting new patients
Internal Medical Associates-Ebnhc CurrentSince Apr 16, 2018 Accepting new patients
Emergency Medicine Services of Maine, LLC Emergency Medicine CurrentSince Oct 18, 2021 Accepting new patients
Step Ri, PC Emergency Medicine Past Accepting new patients
Associated Physicians of Harvard Medical Faculty Physicians at Beth Is Past Accepting new patients
Associated Physicians of Harvard Medical Faculty Physicians at Beth Is Past Accepting new patients

Locations

10 Grove St
East Boston, MA 02128
Phone (617) 569-5800

50 Union St
Ellsworth, ME 04605
Phone (207) 664-5304

140 Academy St
Presque Isle, ME 04769
Phone (207) 768-4000

200 Kennedy Memorial Dr
Waterville, ME 04901
Phone (207) 861-3000

1 Parkland Dr
Derry, NH 03038
Phone (603) 421-2220

10 Central Ave
Dover, NH 03820
Phone (603) 740-1500

333 Bothwick Ave
Portsmouth, NH 03801
Phone (603) 433-4907

11 Whitehall Rd
Rochester, NH 03867
Phone (603) 330-7905

603 Lafayette Rd
Seabrook, NH 03874
Phone (603) 474-6400

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1942241088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 CASS AVE",
            "city": "WOONSOCKET",
            "state": "RI",
            "postal_code": "028954705",
            "telephone_number": "401-769-4100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 CASS AVE",
            "city": "WOONSOCKET",
            "state": "RI",
            "postal_code": "028954705",
            "telephone_number": "401-769-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHERVANICK",
        "first_name": "GEORGE",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-09",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "RI",
            "license": "DO00576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woonsocket, RI

Sources for this page

Verify at the official NPI Registry.