George O Halstead (NPI# 1942593603, PAC ID# 1254558877) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL PRACTICE.
| Nation Provider ID (NPI) | 1942593603 |
| PAC ID by PECOS | 1254558877 |
| Professional Enrollment ID | I20190722001318 |
| Full Name | George O Halstead |
| Organization Legal Name | RENAISSANCE MEDICAL CENTER |
| Address |
284 Blevins Blvd Bristol VA 24202-5977 |
| Phone Number | 2762853911 |
| Gender | M |
| Medical School | MEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE |
| Graduation Year | 2005 |
| Primary Specialty | GENERAL PRACTICE |
| Group Practice PAC ID | 2062748551 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 284 Blevins Blvd, Bristol, VA 24202-5977 | 2762853911 | RENAISSANCE MEDICAL CENTER |
| Organization Legal Name | RENAISSANCE MEDICAL CENTER |
| Physicians | 1 |
| Street Address |
284 BLEVINS BLVD |
| City | BRISTOL |
| State | VA |
| Zip | 24202-5977 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Timothy G Mcgarry | Orthopedic Surgery | Timothy G. Mcgarry M.d. Pllc | 21371 Forsythe Rd, Bristol, VA 24202-4357 |
| Jessica L. Loveday | Physician Assistant | Timothy G. Mcgarry M.d. Pllc | 21371 Forsythe Rd, Bristol, VA 24202-4357 |
| Audrey E Capell | Physical Therapy | Wps Providers Inc | 136 Bristol E Rd, Bristol, VA 24202-5500 |
| Charles E Williams Jr. | Physical Therapy | Wps Providers Inc | 136 Bristol E Rd, Bristol, VA 24202-5500 |
| Justin Scott Pennington | Physical Therapy | Wps Providers Inc | 136 Bristol E Rd, Bristol, VA 24202-5500 |
| David Wayne Shirey | Physical Therapy | Wps Providers Inc | 136 Bristol E Rd, Bristol, VA 24202-5500 |
| Laura Olson Moore | Physical Therapy | Function Better Therapy Services | 136 Bristol E Rd, Bristol, VA 24202-5500 |
| Brady Carter | Physical Therapy | 2426 Lee Hwy, Suite 210, Bristol, VA 24202-5967 |
| City | BRISTOL |
| Zip Code | 24202 |
| Specialty | GENERAL PRACTICE |
| City + Specialty | BRISTOL + GENERAL PRACTICE |
Please comment or provide details below to improve the information on George O Halstead.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.