NPIMap

Individual provider Active NPI

Gina Luisa Greco-Angelopoulos, MD

  • Emergency Medical Services (Emergency Medicine) Physician
  • Lake Charles, LA
National Provider Identifier
1073554010
Registry record updated Jan 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medical Services (Emergency Medicine) PhysicianTaxonomy code 207PE0004X
License
MD.205378 Issued in LA
Practice address
2640 Country Club Rd
Suite 400
Lake Charles, LA 70605-5912
Phone
(815) 713-2600
NPI assigned
Jun 9, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medical Services (Emergency Medicine) Physician 207PE0004X 187186 NY
Emergency Medical Services (Emergency Medicine) Physician 207PE0004X MD.205378 LA Primary

Addresses

Primary practice location

2640 Country Club Rd
Suite 400
Lake Charles, LA 70605-5912

Mailing address

2640 Country Club Rd
Suite 400
Lake Charles, LA 70605-5912

Other names 1

  • Dr. Gina Luisa Angelopoulos Former name

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

LicenseStateTypeSpecialty
187186NYMDEmergency Medical Services (Emergency Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Paragon Emergency Medicine, PC Past Accepting new patients
Nassau Emergency Medicine, P.C. Past Accepting new patients
Stat Health Immediate Medical Care, PC Past Accepting new patients
Anthem Medical Healthcare, PC Past Accepting new patients

Organizations & group practices 4

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358380800000",
    "number": "1073554010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2640 COUNTRY CLUB RD",
            "address_2": "SUITE 400",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706055912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2640 COUNTRY CLUB RD",
            "address_2": "SUITE 400",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706055912",
            "telephone_number": "815-713-2600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRECO-ANGELOPOULOS",
        "first_name": "GINA LUISA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-09",
        "last_updated": "2013-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "NY",
            "license": "187186",
            "primary": false
        },
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "LA",
            "license": "MD.205378",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GINA LUISA",
            "last_name": "ANGELOPOULOS",
            "prefix": "DR.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lake Charles, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.