Provider Demographics
NPI:1902818743
Name:NAUM, GEORGE PHILLIP III (DO)
Entity Type:Individual
Prefix:DR
First Name:GEORGE
Middle Name:PHILLIP
Last Name:NAUM
Suffix:III
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31 FIELDCREST AVE
Mailing Address - Street 2:
Mailing Address - City:WHEELING
Mailing Address - State:WV
Mailing Address - Zip Code:26003
Mailing Address - Country:US
Mailing Address - Phone:304-780-9114
Mailing Address - Fax:304-242-2555
Practice Address - Street 1:31 FIELDCREST AVE
Practice Address - Street 2:
Practice Address - City:WHEELING
Practice Address - State:WV
Practice Address - Zip Code:26003-5645
Practice Address - Country:US
Practice Address - Phone:304-780-9114
Practice Address - Fax:304-780-9114
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-12
Last Update Date:2018-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV1308207Q00000X
OH34005389N208VP0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
No208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV0053859000Medicaid
P00097849OtherRAILROAD MEDICARE
OH0883905Medicaid
OH7319531Medicare PIN
OHF17603Medicare UPIN