MEDICARE: DR. GEORGE TILTON HEATH MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207L00000X	Anesthesiology Physician	0101053809	VA
2	207LP2900X	Pain Medicine (Anesthesiology) Physician	0101053809	VA
3	207L00000X	Anesthesiology Physician	102354	WI

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	P00147726	OTHER	VA	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1487640090
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GEORGE TILTON HEATH MD

Provider Business Mailing Address
First Line	:	3316 HILLCREST TRL
Second Line	:
City	:	TOANO
State	:	VA
Zip	:	23168-9632
Country	:	US
Telephone Number	:	757-869-2619
Fax Number	:

Provider Business Practice Location Address
First Line	:	400 SENTARA CIR STE 200
Second Line	:
City	:	WILLIAMSBURG
State	:	VA
Zip	:	23188-5716
Country	:	US
Telephone Number	:	757-345-4140
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/20/2005
Last Update Date	:	01/08/2025

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Directions to “ DR. GEORGE TILTON HEATH MD” Practice Location

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