Physician Compare National (NPI:1306936695)

HEALTHCARE PROVIDER: MELISSA ANNE GEORGE M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1306936695
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	0547362220
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20070227000318
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	GEORGE
	Individual professional last name
Provider First Name	MELISSA
	Individual professional first name
Provider Middle Name	A
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.
Provider Credential Text	MD
	The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information
Medical School Name	UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS
	Individual professional's medical school
Graduation Year	2003
	Individual professional's medical school graduation year
Primary Specialty	INTERNAL MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	205 W WINDCREST ST
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 360
	Group Practice or individual's line 2 address
City	FREDERICKSBURG
	Group Practice or individual's city
State	TX
	Group Practice or individual's state
Zip Code	786244222
	Group Practice or individual's zip code (9 digits when available)
Phone Number	8309972745
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	450604
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	HILL COUNTRY MEMORIAL HOSPITAL INC
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	450007
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	PETERSON REGIONAL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	451348
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	HEART OF TEXAS MEMORIAL HOSPITAL
	Legal business name of hospital where individual professional provides service 3
Professional Accepts Medicare Assignment	Y