George L. Deloach, D.O., PA

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

H9881 Issued in TX

Legal business name

GEORGE L. DELOACH, D.O., PA

Practice address

403 Ogletree Dr Ste 100
Livingston, TX 77351-9444

Phone

(936) 327-9222

Fax

(936) 755-3249

NPI assigned

Aug 28, 2007

Organization subpart

No

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

Authorized official

Name

George L Deloach, D.O.

Title

Physician/President

Phone

(936) 755-3238

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Robert A Young Jr., PAC

  • Medical Physician Assistant
  • Zavalla, TX
  • NPI 1184719486
  NPD (past)

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

{
    "created_epoch": "1188259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709251200000",
    "number": "1992999544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 337",
            "city": "LIVINGSTON",
            "state": "TX",
            "postal_code": "773510006",
            "telephone_number": "936-327-9222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 OGLETREE DR STE 100",
            "city": "LIVINGSTON",
            "state": "TX",
            "postal_code": "773519444",
            "telephone_number": "936-327-9222",
            "fax_number": "936-755-3249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGE L. DELOACH, D.O., PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-28",
        "last_updated": "2024-03-01",
        "certification_date": "2024-03-01",
        "status": "A",
        "authorized_official_last_name": "DELOACH",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PHYSICIAN/PRESIDENT",
        "authorized_official_telephone_number": "936-755-3238",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "TX",
            "license": "H9881",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "4934240001",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHEILD",
            "identifier": "0048QS",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR/PALMETTO GBA",
            "identifier": "DG4922",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "154512101",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Therese Fuchs, MD
• Valerie Fuller, MS, SLP
• G2 Pediatric Therapy, LLC
• Rusti Garcia, MS, LPC
• Mary J Garnepudi, MD
• Gerald Ratinov MD Care P a
• Alison Glass, OTD
• Christina Marie Gonzalez, LPC
• Good Shepherd Assistant Living
• Donnal Blake Goodwin, COTA

• Orthopaedic Surgery Physician in Livingston, TX
• Providers in Livingston, TX by specialty
• Orthopaedic Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.