Kyle Matthew George, DO
Individual provider Active NPI Emergency Medicine Physician · Fairfield, TX
NPI 1982199519 · NPPES record last updated Jul 23, 2024
Key facts
- NPI
- 1982199519
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- T0214 (TX)
- Practice address
- 125 Newman St
Fairfield, TX 75840-1419 - Phone
- (903) 389-2121
- NPI assigned
- Jun 26, 2018
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Liberty Univ College of Osteopathic Medicine, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Elite Integral Staffing LLC
Practice addresses (Care Compare)
1800 W University Blvd
Durant, OK 74701-3006
Phone (719) 688-1483
901 S 5TH Ave
Madill, OK 73446-3640
Phone (719) 688-1483
Hospital & facility affiliations
- Alliancehealth Madill
- Alliancehealth Madill
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (5 enrollments) in OK, TN, MI, WI, TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20191022003007 | OK | Practitioner - Family Practice | 4688909690 | Reassigns benefits to 2 organizations |
| I20230120000187 | TN | Practitioner - Family Practice | 4688909690 | |
| I20230323002003 | MI | Practitioner - Family Practice | 4688909690 | |
| I20230410000219 | WI | Practitioner - Family Practice | 4688909690 | |
| I20230511000375 | TX | Practitioner - Family Practice | 4688909690 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4524 | TN | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oklahoma Emergency Physician Partners PLLC | Emergency Medicine | Current | Accepting new patients |
| Ess of Fairfield LLC | Emergency Medicine | Current |
Accepting new patients |
| Nes Oklahoma, Inc. | Emergency Medicine | Current |
Accepting new patients |
| Elite Integral Staffing LLC | Emergency Medicine | Current |
Accepting new patients |
| Concord North Texas, PLLC | Emergency Medicine | Current |
Accepting new patients |
| Marshall County Hma, LLC | Past | Accepting new patients |
Locations
1600 W University Blvd
Durant, OK 74701
Phone (580) 740-0205
1800 W University Blvd
Durant, OK 74701
Phone (580) 924-3080
901 S 5th Ave
Madill, OK 73446
Phone (580) 564-7338
1900 N 14th St
Ponca City, OK 74601
Phone (580) 718-2932
504 Lipscomb St
Bonham, TX 75418
Phone (903) 583-8585
125 Newman St
Fairfield, TX 75840
Phone (888) 250-2326
Interoperability endpoints
- fmckgeorg@yourcarecommunity.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 6656 | OK | |
| Family Medicine Physician | 207Q00000X | 6656 | OK | |
| Emergency Medicine Physician | 207P00000X | T0214 | TX | Yes |
Addresses
Primary practice location
125 Newman St
Fairfield, TX 75840-1419
Mailing address
1650 Windmill CT
Allen, TX 75002-7385
Other practice location 1
901 S 5th Ave
Madill, OK 73446-3640
Phone (580) 795-3384
Other providers in Fairfield, TX
- Fairview Operations LLC
- Kayla Sierra Farmer
- Freestone Emergency Medicine Associates PA
- Freestone Physician Services PA
- Stacy Ann Gallegos
- Gabriela Gonzalez
- Jon David Ham
- HCC of Fairfield LLC
- Hearts of Gladys We Care LLC
- Hometown Pharmacy
All providers in Fairfield, TX · Emergency Medicine Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 23, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.