NPIMap

Organization Active NPI

George Papacostas, LLC

  • General Acute Care Hospital
  • Canton, OH
National Provider Identifier
1164664124
Registry record updated Mar 25, 2010
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Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
35084670 Issued in OH
Legal business name
GEORGE PAPACOSTAS, LLC
Practice address
2600 6TH Street SW
Aultman Wound Care Center
Canton, OH 44710
Phone
(330) 363-4977
NPI assigned
Apr 6, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2010

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

Authorized official

Name
George Papacostas, MD
Title
President
Phone
(330) 495-5719

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 35084670 OH Primary

Addresses

Primary practice location

2600 6TH Street SW
Aultman Wound Care Center
Canton, OH 44710

Mailing address

3206 20TH St NW
Canton, OH 44708-2918
Phone (330) 495-5719

Other identifiers 1

IdentifierTypeStateIssuer
2491898MedicaidOH

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1238976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269475200000",
    "number": "1164664124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3206 20TH ST NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447082918",
            "telephone_number": "330-495-5719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 6TH STREET SW",
            "address_2": "AULTMAN WOUND CARE CENTER",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "44710",
            "telephone_number": "330-363-4977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGE PAPACOSTAS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-06",
        "last_updated": "2010-03-25",
        "status": "A",
        "authorized_official_last_name": "PAPACOSTAS",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "330-495-5719",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "OH",
            "license": "35084670",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2491898",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2010; 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.