Active NPI
Georgios Tsoulfas
- Transplant Surgery Physician
- Rochester, NY
National Provider Identifier
1124054085
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Transplant Surgery Physician
- License
- 239918
- Practice address
- 601 Elmwood Ave
Box Surg
Rochester, NY 14642-8410 - Phone
- (585) 275-5875
- Fax
- (585) 506-0054
- NPI assigned
- Jun 23, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Transplant Surgery Physician | 204F00000X | 239918 | NY | Primary |
Addresses
Primary practice location
601 Elmwood Ave
Box Surg
Rochester, NY 14642-8410
Mailing address
601 Elmwood Ave
Box Surg
Rochester, NY 14642-8410
Phone (585) 275-5875
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02755351 | Medicaid | NY |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151020800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1188864000000",
"number": "1124054085",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 ELMWOOD AVE",
"address_2": "BOX SURG",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146428410",
"telephone_number": "585-275-5875",
"fax_number": "585-506-0054"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 ELMWOOD AVE",
"address_2": "BOX SURG",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146428410",
"telephone_number": "585-275-5875",
"fax_number": "585-506-0054"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TSOULFAS",
"first_name": "GEORGIOS",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-23",
"last_updated": "2007-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "204F00000X",
"taxonomy_group": "",
"desc": "Transplant Surgery",
"state": "NY",
"license": "239918",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02755351",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rochester, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.