Organization Active NPI

George D. Giannoukos MD, PA

  • Specialist
  • Newark, DE
National Provider Identifier
1073739256
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
GEORGE D. GIANNOUKOS MD, PA
Practice address
66 Omega Dr
Buiding E
Newark, DE 19713-2061
Phone
(302) 737-4272
Fax
(302) 737-6730
NPI assigned
Apr 17, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. George D Giannoukos, M.DNPI 1750313995
Title
President
Phone
(302) 737-4272

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X Primary

Addresses

Primary practice location

66 Omega Dr
Buiding E
Newark, DE 19713-2061

Mailing address

66 Omega Drive
Buiding E
Newark, DE 19713
Phone (302) 737-4272

National Provider Directory

National Provider Directory

Locations

66 Omega Dr
Newark, DE 19713
Phone (302) 737-4272

66 Omega Dr
#E
Newark, DE 19713
Phone (302) 737-4272

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1073739256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 OMEGA DRIVE",
            "address_2": "BUIDING E",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "19713",
            "telephone_number": "302-737-4272",
            "fax_number": "302-737-6730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 OMEGA DR",
            "address_2": "BUIDING E",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197132061",
            "telephone_number": "302-737-4272",
            "fax_number": "302-737-6730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGE D. GIANNOUKOS MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GIANNOUKOS",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "302-737-4272",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.