Provider Demographics
NPI:1255390852
Name:HO, GEORGE T (MD)
Entity type:Individual
Prefix:DR
First Name:GEORGE
Middle Name:T
Last Name:HO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 7527
Mailing Address - Street 2:
Mailing Address - City:DUBLIN
Mailing Address - State:OH
Mailing Address - Zip Code:43017-0727
Mailing Address - Country:US
Mailing Address - Phone:614-544-6155
Mailing Address - Fax:614-544-6370
Practice Address - Street 1:500 E MAIN ST
Practice Address - Street 2:STE 220
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43215-5369
Practice Address - Country:US
Practice Address - Phone:614-222-3369
Practice Address - Fax:614-224-1208
Is Sole Proprietor?:No
Enumeration Date:2006-03-22
Last Update Date:2022-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35066578208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
0758185OtherRAILROAD MEDICARE
OH0969920Medicaid
2245558OtherCIGNA
000000368953OtherANTHEM
1900274OtherUNITED HEALTHCARE
0758188Medicare ID - Type UnspecifiedMEDICARE CLASS
0758185Medicare ID - Type UnspecifiedMEDICARE CLASS
000000368953OtherANTHEM
0758185Medicare ID - Type Unspecified
OH0969920Medicaid