NPIMap

Individual provider Active NPI

Jon C George, MD

  • Interventional Cardiology Physician
  • Philadelphia, PA
National Provider Identifier
1992746721
Registry record updated Jun 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
MD436608 Issued in PA
Practice address
2418 E York St
Philadelphia, PA 19125-3006
Phone
(215) 575-5906
Fax
(215) 392-7992
NPI assigned
Jun 10, 2006
Last updated
Jun 25, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X MD436608 PA Primary

Addresses

Primary practice location

2418 E York St
Philadelphia, PA 19125-3006

Mailing address

111 Stow Ave Ste 200
Cuyahoga Falls, OH 44221-2560
Phone (215) 595-5906

Other practice location 1

235 E Brown St
East Stroudsburg, PA 18301-3013
Phone (272) 212-4000

Other practice location 2

516 Jenna Dr
Brodheadsville, PA 18322-7141
Phone (272) 212-4000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, PA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20091016000333 NJ Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 6305864273 Reassigns benefits to 1 organization
I20120625000502 PA Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 6305864273 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional Cardiology
Education
University of Cincinnati College of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Revascmedprofessionals PCGroup PAC ID 6800207168, 3 clinicians

Practice addresses (Care Compare)

2418 E York St
Revamp
Philadelphia, PA 19125-3006
Phone (267) 548-4216

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting27
Pacemaker insertion or repair1-10
Varicose vein removal1-10
Leg revascularization (restoring blood flow)38

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Imageamericapa CurrentSince Feb 1, 2024 Accepting new patients
St. Luke's Physician Group, Inc CurrentSince Aug 20, 2020 Accepting new patients
Revascmedprofessional NJ LLC Cardiovascular Disease CurrentSince Apr 1, 2022 Accepting new patients
Coatesville Cardiology Clinic LLC Cardiovascular Disease CurrentSince Dec 7, 2020 Accepting new patients
Revascmedprofessionals PC Cardiovascular Disease CurrentSince Nov 1, 2020 Accepting new patients
St. Luke's Physician Group, Inc. Current Accepting new patients
St Luke's Physician Group Inc CurrentSince Aug 20, 2020 Accepting new patients
Hospitalist Medicine Physicians of Ashtabula County, LTD Internal Medicine Past Accepting new patients
Bala Cardiovascular Consultants, P.C. Cardiovascular Disease PastSince Apr 10, 2022 Accepting new patients
Lehigh Valley Vascular Institute LLC PastSince May 1, 2023 Accepting new patients

Locations

525 Route 73 N
Ste 117
Marlton, NJ 08053
Phone (609) 200-0444

111 Stow Ave
Ste 200
Cuyahoga Fls, OH 44221

516 Jenna Dr
Brodheadsville, PA 18322
Phone (272) 212-4000

1500 Lansdowne Ave
Darby, PA 19023
Phone (610) 237-4561

235 E Brown St
East Stroudsburg, PA 18301
Phone (570) 421-3872

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

727 Welsh Rd
Ste 103B
Huntingdon Valley, PA 19006
Phone (267) 951-3328

727 Welsh Rd
Huntingdon Vy, PA 19006
Phone (215) 914-2119

170 N Henderson Rd
Ste 310
Kng of Prussa, PA 19406
Phone (610) 481-9600

100 E Lehigh Ave
Philadelphia, PA 19125
Phone (215) 707-1200

2418 E York St
Philadelphia, PA 19125
Phone (215) 575-5906

3025 Zinn Rd
Thorndale, PA 19372
Phone (610) 384-2211

800 Spruce St
William Penn Annex West, PA 19107
Phone (215) 829-3867

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: jgeorge2017112@direct.trinity-health.org
  • Direct secure messaging: jon.george.1@27406.direct.athenahealth.com

Organizations & group practices 11

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 10

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": "1149897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624579200000",
    "number": "1992746721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 STOW AVE STE 200",
            "city": "CUYAHOGA FALLS",
            "state": "OH",
            "postal_code": "442212560",
            "telephone_number": "215-595-5906",
            "fax_number": "215-392-7992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2418 E YORK ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191253006",
            "telephone_number": "215-575-5906",
            "fax_number": "215-392-7992"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "235 E Brown St",
            "address_purpose": "LOCATION",
            "city": "East Stroudsburg",
            "state": "PA",
            "postal_code": "183013013",
            "country_code": "US",
            "telephone_number": "272-212-4000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "516 Jenna Dr",
            "address_purpose": "LOCATION",
            "city": "Brodheadsville",
            "state": "PA",
            "postal_code": "183227141",
            "country_code": "US",
            "telephone_number": "272-212-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GEORGE",
        "first_name": "JON",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-10",
        "last_updated": "2021-06-25",
        "certification_date": "2021-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "PA",
            "license": "MD436608",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.