George Herbert Bone (NPI# 1528028297, PAC ID# 5496664088) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
Nation Provider ID (NPI) | 1528028297 |
PAC ID by PECOS | 5496664088 |
Professional Enrollment ID | I20050701000592 |
Full Name | George Herbert Bone |
Organization Legal Name | IC CARE CORPORATION |
Address |
1100 Mercantile Ln Suite 135 Largo MD 20774-5361 |
Phone Number | 3017739700 |
Gender | M |
Credential | MD |
Medical School | SAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE |
Graduation Year | 1976 |
Primary Specialty | INTERNAL MEDICINE |
Group Practice PAC ID | 5496791212 |
Number of Group Practice Members | 3 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
210051 | DOCTORS' COMMUNITY HOSPITAL |
Address | Phone | Organization |
---|---|---|
7617 Little River Tpke, Suite 710, Annandale, VA 22003-2635 | 9523008601 | NOVUS HEALTHCARE GROUP LLC |
1100 Mercantile Ln, Suite 135, Largo, MD 20774-5361 | 3017739700 | IC CARE CORPORATION |
Organization Legal Name | IC CARE CORPORATION |
Physicians | 3 |
Name | Specialty | Organization | Address |
---|---|---|---|
Kattie Khadar | Nurse Practitioner | Ic Care Corporation | 1100 Mercantile Ln, Suite 135, Largo, MD 20774-5361 |
Kelson Michael Figaro | Internal Medicine | Ic Care Corporation | 1100 Mercantile Ln, Suite 135, Largo, MD 20774-5361 |
Street Address |
1100 MERCANTILE LN SUITE 135 |
City | LARGO |
State | MD |
Zip | 20774-5361 |
Name | Specialty | Organization | Address |
---|---|---|---|
Bryan C Ego-osuala | Otolaryngology | 1100 Mercantile Ln, Suite 136, Largo, MD 20774-5367 | |
Laura N Marquart | Dermatology | Wellave LLC | 1100 Mercantile Ln, Suite 135, Upper Marlboro, MD 20774-5361 |
Kattie Khadar | Nurse Practitioner | Ic Care Corporation | 1100 Mercantile Ln, Suite 135, Largo, MD 20774-5361 |
Kelson Michael Figaro | Internal Medicine | Ic Care Corporation | 1100 Mercantile Ln, Suite 135, Largo, MD 20774-5361 |
Name | Specialty | Organization | Address |
---|---|---|---|
Adeolu Tolulope Kehinde | Physical Therapy | Ati Holdings LLC | 10666 Campus Way S, Largo, MD 20774-1307 |
Kartiki Sanjay Suradkar | Physical Therapy | Ati Holdings LLC | 10666 Campus Way S, Largo, MD 20774-1307 |
Ruby Mae Jones | Psychologist, Clinical | 11111 Lochton St, Upper Marlboro, MD 20774-1529 | |
Adora N Otiji | Family Medicine | 20 Watkins Park Dr, Upper Marlboro, MD 20774-1628 | |
Victor C Onyejiaka | Internal Medicine | 600 Largo Rd, Upper Marlboro, MD 20774-2122 | |
Jene C Gould | Clinical Social Worker | 1401 Mercantile Ln, Suite 485, Largo, MD 20774-4301 | |
Renee Michelle Riley | Physical Therapy | Physical and Sports Rehab Inc | 1401 Mercantile Ln, Suite 107, Upper Marlboro, MD 20774-4302 |
William Chestnut | Physical Therapy | Physical and Sports Rehab Inc | 1401 Mercantile Ln, Suite 107, Upper Marlboro, MD 20774-4302 |
Paul A Heath | Physical Therapy | Physical and Sports Rehab Inc | 1401 Mercantile Ln, Suite 107, Upper Marlboro, MD 20774-4302 |
Kenya N Brent | Physical Therapy | Physical and Sports Rehab Inc | 1401 Mercantile Ln, Suite 107, Upper Marlboro, MD 20774-4302 |
Find all physicians in zip 20774 |
City | LARGO |
Zip Code | 20774 |
Specialty | INTERNAL MEDICINE |
City + Specialty | LARGO + INTERNAL MEDICINE |
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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.