GEORGE M. WOLVERTON M.D. INC. NPI 1962421990

NPI Information

NPI: 1962421990
Provider Name: GEORGE M. WOLVERTON M.D. INC.

Doing Business As: EVERGREEN MEDICAL CENTRE

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
300 SPRING ST STE 3B
JEFFERSONVILLE, IN
ZIP 47130
Phone: (812) 282-4309
Get Directions

GEORGE M. WOLVERTON M.D. INC. is a family medicine in Jeffersonville, IN. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. GEORGE M. WOLVERTON M.D. INC. NPI is 1962421990. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Evergreen Medical Centre.

The provider's business location address is:

300 SPRING ST STE 3B
JEFFERSONVILLE, IN
ZIP 47130-498
Phone: (812) 282-4309
Fax: (812) 283-8299

The provider's authorized official is Steven Mitchell Johnson .
The authorized official title is Medical Doctor and has the following contact phone number (812) 282-4309.

The enumeration date for this NPI number is 7/19/2006 and was last updated on 4/28/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207Q00000X	Family Medicine		50000563	INDIANA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	310880	MEDICARE PIN	INDIANA
2	011760466	OTHER	INDIANA	RAILROAD MEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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