George Gregory Super in Newport Beach - Emergency Medicine
George Gregory Super - NPI 1790748507
George Gregory Super is a Emergency Medicine in Newport Beach, California. George Gregory Super practices all healthcare services and medical treatments related to Emergency Medicine. The NPI Number for George Gregory Super is 1790748507. The last update date is 2012-09-20.
George Gregory Super's current location address is One Hoag Dr, Newport Beach, California. You can contact this provider via phone number 9497645689 and fax number 4057513183. The mailing address for George Gregory Super is One Hoag Dr, Newport Beach, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | George Gregory Super |
|---|---|
| Address | One Hoag Dr, Newport Beach, California |
| Phone Number | 9497645689 |
| Fax Number | 4057513183 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1790748507 |
|---|---|
| Provider Enumeration Date | 2006-04-11 |
| Last Updated Date | 2012-09-20 |
Provider Mailing Address Detail
| Address | One Hoag Dr |
|---|---|
| City | Newport Beach |
| State | California (CA) |
| Post Code | 926634162 |
| Phone Number | 9497645689 |
| Fax Number | 4057513183 |
Provider's Primary Taxonomy Detail
| Speciality | Emergency Medicine |
|---|---|
| Taxonomy | 207P00000X |
| Licence No | C32629 |
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Definition: An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00C326290670 | CA | -- | |
| P00242844 | CA | RR MEDICARE | |
| 00C326290 | CA | BLUE SHIELD | |
| 00C326290 | CA | -- |
Post Comment/ Review Below
What is the George Gregory Super's 1790748507?
The George Gregory Super's NPI (National Provider Identifier) Number is 1790748507. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where George Gregory Super's facilities are geographically located?
The facilities of George Gregory Super are physically situated at the following location: One Hoag Dr, Newport Beach, CA, 926634162.
What is the area of specialization for George Gregory Super, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for George Gregory Super is Emergency Medicine, and the corresponding taxonomy code that categorizes this area of expertise is 207P00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1790748507 to George Gregory Super?
The Centers for Medicare & Medicaid Services assigned the 1790748507 to George Gregory Super on 2006-04-11.
As of what date was the information pertaining to George Gregory Super, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to George Gregory Super, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2012-09-20.