Constantine Georgiadis, D.O., P.C.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

37204 Issued in CO

Legal business name

CONSTANTINE GEORGIADIS, D.O., P.C.

Practice address

6795 E Tennessee Ave
Suite 310
Denver, CO 80224-1614

Phone

(303) 398-2100

Fax

(303) 398-2103

NPI assigned

Dec 12, 2005

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Constantine Alexander Georgiadis, D.O.NPI 1689659708

Title

President

Phone

(303) 398-2100

Specialties & licenses 1

Addresses

Locations

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.

• Constantine Alexander Georgiadis, D.O.

  • Family Medicine Physician
  • Englewood, FL
  • NPI 1689659708
  NPD (past) Authorized official

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

{
    "created_epoch": "1134345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306821426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6795 E TENNESSEE AVE",
            "address_2": "SUITE 310",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802241614",
            "telephone_number": "303-398-2100",
            "fax_number": "303-398-2103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6795 E TENNESSEE AVE",
            "address_2": "SUITE 310",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802241614",
            "telephone_number": "303-398-2100",
            "fax_number": "303-398-2103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONSTANTINE GEORGIADIS, D.O., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GEORGIADIS",
        "authorized_official_first_name": "CONSTANTINE",
        "authorized_official_middle_name": "ALEXANDER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "303-398-2100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "37204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Denver, CO
• Providers in Denver, CO by specialty
• Family Medicine Physician in Colorado

• 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.