Individual provider Active NPI

George P Ong, MD

  • Dermatology Physician
  • Carlisle, PA
National Provider Identifier
1952387557
Registry record updated Oct 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
MD022482E Issued in PA
Practice address
850 Walnut Bottom Road
Belvedere Medical Corporation
Carlisle, PA 17013-3698
Phone
(717) 245-0272
Fax
(717) 243-2357
NPI assigned
Dec 16, 2005
Last updated
Oct 30, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X MD022482E PA Primary

Addresses

Primary practice location

850 Walnut Bottom Road
Belvedere Medical Corporation
Carlisle, PA 17013-3698

Mailing address

850 Walnut Bottom Road
Belvedere Medical Corporation
Carlisle, PA 17013-3698
Phone (717) 245-0272

Other identifiers 3

IdentifierTypeStateIssuer
50000625OtherCAP BLUE CROSS
0008327500001MedicaidPA
183204OtherHIGHMARK BLUE SHIELD

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD022482EPAMDDermatology Physician

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1134691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193702400000",
    "number": "1952387557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 WALNUT BOTTOM ROAD",
            "address_2": "BELVEDERE MEDICAL CORPORATION",
            "city": "CARLISLE",
            "state": "PA",
            "postal_code": "170133698",
            "telephone_number": "717-245-0272",
            "fax_number": "717-243-2357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 WALNUT BOTTOM ROAD",
            "address_2": "BELVEDERE MEDICAL CORPORATION",
            "city": "CARLISLE",
            "state": "PA",
            "postal_code": "170133698",
            "telephone_number": "717-245-0272",
            "fax_number": "717-243-2357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ONG",
        "first_name": "GEORGE",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-16",
        "last_updated": "2007-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "PA",
            "license": "MD022482E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAP BLUE CROSS",
            "identifier": "50000625",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0008327500001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "183204",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carlisle, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.