Individual provider Active NPI

George Elliott McCord, M.D.

  • Ophthalmology Physician
  • Indianapolis, IN
National Provider Identifier
1992870885
Registry record updated Sep 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
01021201 Issued in IN
Practice address
7301 N Shadeland Ave
Indianapolis, IN 46250-2085
Phone
(317) 845-1305
Fax
(317) 842-3641
NPI assigned
Nov 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 01021201 IN
Ophthalmology Physician 207W00000X 01021201 IN Primary

Addresses

Primary practice location

7301 N Shadeland Ave
Indianapolis, IN 46250-2085

Mailing address

6418 Landborough South Dr
Indianapolis, IN 46220-4357
Phone (317) 845-1305

Other identifiers 2

IdentifierTypeStateIssuer
000000090298OtherINANTHEM BLUE NETWORK
351924614002OtherINANTHEM BCBS

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
01021201INMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Eye Care of Indiana PC Ophthalmology Past Accepting new patients
Major Hospital Ophthalmology Past Accepting new patients
Jerome D. Muskat, O.D., P.C. Past Accepting new patients
Smith-Bridenstine MK Co LLC Past Accepting new patients

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1164326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347494400000",
    "number": "1992870885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6418 LANDBOROUGH SOUTH DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462204357",
            "telephone_number": "317-845-1305",
            "fax_number": "317-842-3621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7301 N SHADELAND AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462502085",
            "telephone_number": "317-845-1305",
            "fax_number": "317-842-3641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCORD",
        "first_name": "GEORGE",
        "middle_name": "ELLIOTT",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-24",
        "last_updated": "2012-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "IN",
            "license": "01021201",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IN",
            "license": "01021201",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE NETWORK",
            "identifier": "000000090298",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "351924614002",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2012; 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.