Organization Active NPI

St. George & Co, Inc.

  • Otolaryngic Allergy Physician
  • York, PA
National Provider Identifier
1962534552
Registry record updated Jan 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngic Allergy PhysicianTaxonomy code 207YX0602X
License
OS004419L Issued in PA
Legal business name
ST. GEORGE & CO, INC.
Practice address
1776 S Queen St
York, PA 17403-4628
Phone
(717) 845-6261
Fax
(717) 852-0630
NPI assigned
Mar 10, 2007
Last updated
Jan 26, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2010

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

Authorized official

Name
Dr. Carol Linda St. George, D.O.NPI 1134174147
Title
President
Phone
(717) 845-6261

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngic Allergy PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207YX0602X OS004419L PA Primary

Addresses

Primary practice location

1776 S Queen St
York, PA 17403-4628

Mailing address

1776 S Queen St
York, PA 17403-4628
Phone (717) 845-6261

Other identifiers 3

IdentifierTypeStateIssuer
1338861OtherPAHIGHMARK BLUE SHIELD ID#
02548800OtherPACAPITAL BLUE CROSS ID#
0009788350002MedicaidPA

Other names 1

  • Carol L. St. George, D.O. Former legal business name

National Provider Directory

National Provider Directory

Locations

200 Bailey Dr
Ste 201
Stewartstown, PA 17363
Phone (717) 993-6386

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1173484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264464000000",
    "number": "1962534552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1776 S QUEEN ST",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174034628",
            "telephone_number": "717-845-6261",
            "fax_number": "717-852-0630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1776 S QUEEN ST",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174034628",
            "telephone_number": "717-845-6261",
            "fax_number": "717-852-0630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. GEORGE & CO, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-10",
        "last_updated": "2010-01-26",
        "status": "A",
        "authorized_official_last_name": "ST. GEORGE",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "LINDA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "717-845-6261",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207YX0602X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology, Otolaryngic Allergy",
            "state": "PA",
            "license": "OS004419L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD ID#",
            "identifier": "1338861",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS ID#",
            "identifier": "02548800",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0009788350002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carol L. St. George, D.O.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in York, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2010; 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.