Active NPI
George L. Deloach, D.O., PA
- Orthopaedic Surgery Physician
- Livingston, TX
National Provider Identifier
1992999544
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- H9881
- 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
- Last updated
- Mar 1, 2024
- Organization subpart
- No
NPPES NPI Registry
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
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | H9881 | TX | Primary |
| Durable Medical Equipment & Medical Supplies | 332B00000X | 4934240001 | TX |
Addresses
Primary practice location
403 Ogletree Dr Ste 100
Livingston, TX 77351-9444
Mailing address
PO Box 337
Livingston, TX 77351-0006
Phone (936) 327-9222
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20130329000002 | TX | DME Supplier - Physician - Orthopedic/Orthopedic Surgery | 9931178969 | Practice locations: Livingston, TX |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
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.
-
- Orthopaedic Surgery Physician
- Livingston, TX
- NPI 1942288451
-
- Medical Physician Assistant
- Zavalla, TX
- NPI 1184719486
NPI Registry JSON
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": [],
"endpoints": [],
"other_names": []
}
Other providers in Livingston, TX
Sources for this page
- 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.