Derick T George (NPI# 1144208760, PAC ID# 4284529876) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ANESTHESIOLOGY.
| Nation Provider ID (NPI) | 1144208760 |
| PAC ID by PECOS | 4284529876 |
| Professional Enrollment ID | I20040223000040 |
| Full Name | Derick T George |
| Organization Legal Name | LONG ISLAND ANESTHESIA PHYSICIANS LLP |
| Address |
200 Belle Terre Rd Port Jefferson NY 11777-1928 |
| Phone Number | 6314746000 |
| Gender | M |
| Credential | MD |
| Medical School | NEW YORK UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1986 |
| Primary Specialty | ANESTHESIOLOGY |
| Group Practice PAC ID | 7113825381 |
| Number of Group Practice Members | 113 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330185 | JOHN T MATHER MEMORIAL HOSPITAL OF PORT JEFFERSON |
| 330246 | ST CHARLES HOSPITAL |
| 330107 | PECONIC BAY MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 200 Belle Terre Rd, Port Jefferson, NY 11777-1928 | 6314746000 | LONG ISLAND ANESTHESIA PHYSICIANS LLP |
| 75 N Country Rd, Port Jefferson, NY 11777-2119 | 6314731320 | LONG ISLAND ANESTHESIA PHYSICIANS LLP |
| 1300 Roanoke Ave, Riverhead, NY 11901-2031 | 6315486000 | LONG ISLAND ANESTHESIA PHYSICIANS LLP |
| Organization Legal Name | LONG ISLAND ANESTHESIA PHYSICIANS LLP |
| Physicians | 99 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Martin Ockert | Certified Registered Nurse Anesthetist (crna) | Long Island Anesthesia Physicians LLP | 200 Belle Terre Rd, Port Jefferson, NY 11777-1928 |
| Michael A Nemirov | Anesthesiology | Long Island Anesthesia Physicians LLP | 1174 Route 112, Port Jefferson Station, NY 11776-8033 |
| Patricia A. Redmond-trotta | Certified Registered Nurse Anesthetist (crna) | Long Island Anesthesia Physicians LLP | 200 Belle Terre Rd, Port Jefferson, NY 11777-1928 |
| Frederick R Lehman | Anesthesiology | Long Island Anesthesia Physicians LLP | 200 Belle Terre Rd, Port Jefferson, NY 11777-1928 |
| Jonathan W Moresco | Anesthesiology | Long Island Anesthesia Physicians LLP | 1000 N Village Ave, Rockville Center, NY 11570-1000 |
| Muhammad I. Choudry | Anesthesiology | Long Island Anesthesia Physicians LLP | 200 Belle Terre Rd, Port Jefferson, NY 11777-1928 |
| Tashanna L Adams | Certified Registered Nurse Anesthetist (crna) | Long Island Anesthesia Physicians LLP | 200 Belle Terre Rd, Port Jefferson, NY 11777-1928 |
| Arlyne B Ramos | Certified Registered Nurse Anesthetist (crna) | Long Island Anesthesia Physicians LLP | 200 Belle Terre Rd, Port Jefferson, NY 11777-1928 |
| Brian J Melville | Anesthesiology | Long Island Anesthesia Physicians LLP | 1000 N Village Ave, Rockville Center, NY 11570-1000 |
| Sassan Mohtadi | Anesthesiology | Long Island Anesthesia Physicians LLP | 1000 N Village Ave, Rockville Center, NY 11570-1000 |
| Street Address |
200 BELLE TERRE RD |
| City | PORT JEFFERSON |
| State | NY |
| Zip | 11777-1928 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Martin Ockert | Certified Registered Nurse Anesthetist (crna) | Long Island Anesthesia Physicians LLP | 200 Belle Terre Rd, Port Jefferson, NY 11777-1928 |
| Joan White | Physician Assistant | Samaritan Medical Services PC | 200 Belle Terre Rd, Port Jefferson, NY 11777-1928 |
| Patricia A. Redmond-trotta | Certified Registered Nurse Anesthetist (crna) | Long Island Anesthesia Physicians LLP | 200 Belle Terre Rd, Port Jefferson, NY 11777-1928 |
| Frederick R Lehman | Anesthesiology | Long Island Anesthesia Physicians LLP | 200 Belle Terre Rd, Port Jefferson, NY 11777-1928 |
| Loretta Didwell | Physician Assistant | Port Emergency Medical Services PC | 200 Belle Terre Rd, Port Jefferson, NY 11777-1928 |
| Farhad Mohammad Gazi | Emergency Medicine | Port Emergency Medical Services PC | 200 Belle Terre Rd, Port Jefferson, NY 11777-1928 |
| Pankti R Patel | General Surgery | Long Island Minimally Invasive Surgery PC | 200 Belle Terre Rd, Port Jefferson, NY 11777-1928 |
| Igor Lizogubenko | Physician Assistant | Port Emergency Medical Services PC | 200 Belle Terre Rd, Port Jefferson, NY 11777-1928 |
| Muhammad I. Choudry | Anesthesiology | Long Island Anesthesia Physicians LLP | 200 Belle Terre Rd, Port Jefferson, NY 11777-1928 |
| Matthew Delph | Physician Assistant | Port Emergency Medical Services PC | 200 Belle Terre Rd, Port Jefferson, NY 11777-1928 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Andrea S Coladner | Physical Medicine and Rehabilitation | 6 Cove Ln, Port Jefferson, NY 11777-1103 | |
| Toni Derman | Clinical Social Worker | 33 Landing Lane, Port Jefferson, NY 11777-1106 | |
| Gabrielle Lofaso | Psychologist, Clinical | 20 Crooked Oak Rd, Port Jefferson, NY 11777-1120 | |
| Ronald Fein | Clinical Social Worker | 19 Waterview Dr, Port Jefferson, NY 11777-1169 | |
| Constance E Schoenberg | Psychologist, Clinical | 201 E Broadway, Port Jefferson, NY 11777-1248 | |
| Marguerite F Metzendorf | Clinical Social Worker | 14 E Broadway, Port Jefferson, NY 11777-1400 | |
| Dorothy M Lilly | Clinical Social Worker | 14 E Broadway, Suite 3, Port Jefferson, NY 11777-1400 | |
| Guy Anthony Koutouvidis | Clinical Social Worker | 14 E Broadway, Suite 2, Port Jefferson, NY 11777-1400 | |
| Sharon Lyn Zariello | Clinical Social Worker | 14 E Broadway, Port Jefferson, NY 11777-1400 | |
| Susan Prechtl-loper | Physical Therapy | 117 Oakwood Rd, Port Jefferson, NY 11777-1422 | |
| Find all physicians in zip 11777 | |||
| City | PORT JEFFERSON |
| Zip Code | 11777 |
| Specialty | ANESTHESIOLOGY |
| City + Specialty | PORT JEFFERSON + ANESTHESIOLOGY |
Please comment or provide details below to improve the information on Derick T George.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.