Active NPI
George Patounakis, M.D,
- Reproductive Endocrinology Physician
- Lake Mary, FL
National Provider Identifier
1003059825
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Reproductive Endocrinology Physician
- License
- ME126268
- Practice address
- 400 Colonial Center Pkwy
Suite 150
Lake Mary, FL 32746-7682 - Phone
- (407) 804-9670
- Fax
- (407) 804-9671
- NPI assigned
- Apr 8, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Reproductive Endocrinology Physician | 207VE0102X | ME126268 | FL | Primary |
| Gynecology Physician | 207VG0400X | ME126268 | FL |
Addresses
Primary practice location
400 Colonial Center Pkwy
Suite 150
Lake Mary, FL 32746-7682
Mailing address
400 Colonial Center Pkwy
Suite 150
Lake Mary, FL 32746-7682
Phone (407) 804-9670
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME126268 | FL | MD | Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SGF Tampa Bay LLC | Reproductive Endocrinology | Past | Accepting new patients |
| Lima Memorial Joint Operating Company | Past | Accepting new patients | |
| SGF Orlando, LLC | Reproductive Endocrinology | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Reproductive Endocrinology Physician
- Orlando, FL
- NPI 1043904584
-
- Reproductive Endocrinology Physician
- Tampa, FL
- NPI 1013410497
-
dba Lima Memorial Health System
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1239148800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1484524800000",
"number": "1003059825",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 COLONIAL CENTER PKWY",
"address_2": "SUITE 150",
"city": "LAKE MARY",
"state": "FL",
"postal_code": "327467682",
"telephone_number": "407-804-9670",
"fax_number": "407-804-9671"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 COLONIAL CENTER PKWY",
"address_2": "SUITE 150",
"city": "LAKE MARY",
"state": "FL",
"postal_code": "327467682",
"telephone_number": "407-804-9670",
"fax_number": "407-804-9671"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATOUNAKIS",
"first_name": "GEORGE",
"name_prefix": "Dr.",
"credential": "M.D,",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-04-08",
"last_updated": "2017-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "207VE0102X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
"state": "FL",
"license": "ME126268",
"primary": true
},
{
"code": "207VG0400X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "FL",
"license": "ME126268",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lake Mary, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.