MEDICARE: CHRISTOPHER P GEORGE DPM

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	213E00000X	Podiatrist	36002799G	OH

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

General Provider Information

NPI Number	:	1023058021
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTOPHER P GEORGE DPM

Provider Business Mailing Address
First Line	:	PO BOX 3903
Second Line	:
City	:	MANSFIELD
State	:	OH
Zip	:	44907-3903
Country	:	US
Telephone Number	:	614-457-4774
Fax Number	:	614-457-4795

Provider Business Practice Location Address
First Line	:	275 CLINE AVE STE 2
Second Line	:
City	:	MANSFIELD
State	:	OH
Zip	:	44907-1000
Country	:	US
Telephone Number	:	419-756-9111
Fax Number	:	419-756-0191

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

Provider Enumeration Date	:	06/07/2006
Last Update Date	:	06/04/2026

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