Individual provider Active NPI

George Scott Wilson, D.O.

  • Internal Medicine Physician
  • Lisbon, OH
National Provider Identifier
1952308066
Registry record updated Mar 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
OH34006974W Issued in OH
Practice address
356 E Lincoln Way
Lisbon, OH 44432-1443
Phone
(330) 420-0200
Fax
(330) 420-0210
NPI assigned
Jul 5, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 3, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X OH34006974W OH Primary

Addresses

Primary practice location

356 E Lincoln Way
Lisbon, OH 44432-1443

Mailing address

356 E Lincoln Way
Lisbon, OH 44432-1443
Phone (330) 420-0200

Other identifiers 1

IdentifierTypeStateIssuer
2154056MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20040604000792 OH Practitioner - Internal Medicine 4880676501 Reassigns benefits to 4 organizations
Practice locations: Boardman, OH

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Ohio University, College of Osteopathic Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
SCH Professional CorporationGroup PAC ID 0941291868, 59 clinicians

Practice addresses (Care Compare)

1995 E State St
Salem, OH 44460-2423
Phone (330) 332-7840

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.84 of 100Reported as apm
Quality
69.69
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OH34006974WOHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hospitalist Medicine Physicians of Ohio, Professional Corporation Internal Medicine CurrentSince Mar 9, 2016 Accepting new patients
Hospitalist Medicine Physicians of Richland County, LTD Internal Medicine CurrentSince Jun 1, 2016 Accepting new patients
Inpatient Medical Services, Inc. Internal Medicine CurrentSince Sep 1, 2014 Accepting new patients
SCH Professional Corporation Internal Medicine CurrentSince Jan 13, 2018 Accepting new patients
Tri- State Emergency Physicians Inc Past Accepting new patients
Salem Community Hospital Past Accepting new patients

Locations

2420 Lake Ave
Ashtabula, OH 44004
Phone (216) 986-2919

1320 Timken Mercy Dr NW
Canton, OH 44708
Phone (330) 489-1000

750 E Park Ave
Columbiana, OH 44408
Phone (330) 337-3332

356 E Lincoln Way
Lisbon, OH 44432
Phone (330) 337-4905

6847 N Chestnut St
Ravenna, OH 44266
Phone (330) 296-9606

1995 E State St
Salem, OH 44460
Phone (330) 332-1551

2222 Oak St
Salem, OH 44460
Phone (330) 337-8739

166 Vine St
Salem, OH 44460
Phone (330) 332-1514

2020 E State St
Ste C
Salem, OH 44460
Phone (330) 332-7807

8401 Market St
Youngstown, OH 44512
Phone (330) 729-2929

1044 Belmont Ave
Youngstown, OH 44504
Phone (330) 480-2182

Interoperability endpoints

  • Direct secure messaging: george.wilson@salemregional.medicity.net

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.

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": "1120521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204502400000",
    "number": "1952308066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "356 E LINCOLN WAY",
            "city": "LISBON",
            "state": "OH",
            "postal_code": "444321443",
            "telephone_number": "330-420-0200",
            "fax_number": "330-420-0210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "356 E LINCOLN WAY",
            "city": "LISBON",
            "state": "OH",
            "postal_code": "444321443",
            "telephone_number": "330-420-0200",
            "fax_number": "330-420-0210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "GEORGE",
        "middle_name": "SCOTT",
        "name_prefix": "Mr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-05",
        "last_updated": "2008-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "OH34006974W",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2154056",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lisbon, OH

Sources for this page

Verify at the official NPI Registry.