Individual provider Active NPI

George J Papanicolaou, D.O.

  • Family Medicine Physician
  • Rowley, MA
National Provider Identifier
1265437511
Registry record updated Apr 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
155418 Issued in MA
Practice address
303 Haverhill St # C
Rowley, MA 01969-2101
Phone
(978) 948-3902
Fax
(978) 948-7530
NPI assigned
Jun 14, 2005
Last updated
Apr 23, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 155418 MA Primary

Addresses

Primary practice location

303 Haverhill St # C
Rowley, MA 01969-2101

Mailing address

303 Haverhill St # C
Rowley, MA 01969-2101
Phone (978) 948-3902

Other identifiers 1

IdentifierTypeStateIssuer
3173763MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Jul 1, 2019 through Jul 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
155418MAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Labell & Associates Physical Therapy CurrentSince Jan 1, 2017 Accepting new patients
Hyman Integrative Therapies PastSince Feb 12, 2023 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

303 Haverhill St
#C
Rowley, MA 01969
Phone (978) 948-3902

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1118707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366675200000",
    "number": "1265437511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 HAVERHILL ST # C",
            "city": "ROWLEY",
            "state": "MA",
            "postal_code": "019692101",
            "telephone_number": "978-948-3902",
            "fax_number": "978-948-7530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 HAVERHILL ST # C",
            "city": "ROWLEY",
            "state": "MA",
            "postal_code": "019692101",
            "telephone_number": "978-948-3902",
            "fax_number": "978-948-7530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAPANICOLAOU",
        "first_name": "GEORGE",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-14",
        "last_updated": "2013-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MA",
            "license": "155418",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3173763",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rowley, MA

Sources for this page

Verify at the official NPI Registry.