Provider Demographics
NPI:1467523688
Name:JOHN P. A. GEORGE, M.D. CHARTERED
Entity Type:Organization
Organization Name:JOHN P. A. GEORGE, M.D. CHARTERED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:PA
Authorized Official - Last Name:GEORGE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:202-291-0039
Mailing Address - Street 1:6323 GEORGIA AVE NW
Mailing Address - Street 2:STE# 201
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20011-1101
Mailing Address - Country:US
Mailing Address - Phone:202-291-0039
Mailing Address - Fax:202-829-4009
Practice Address - Street 1:6323 GEORGIA AVE NW
Practice Address - Street 2:STE# 201
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20011-1101
Practice Address - Country:US
Practice Address - Phone:202-291-0039
Practice Address - Fax:202-829-4009
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-10
Last Update Date:2008-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCDC5598207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC022665700Medicaid
DC10225962OtherAMERIGROUP
DC22924OtherCHARTERED HEALTH
DC65540001OtherBCBS
DC22924OtherCHARTERED HEALTH