Active NPI
George Moutsatsos, MD Cardiology LLC
- Cardiovascular Disease Physician
- Wilmington, DE
National Provider Identifier
1447550918
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- C1-0006169
- Legal business name
- GEORGE MOUTSATSOS, MD CARDIOLOGY LLC
- Practice address
- 3521 Silverside Rd
Quillen Building Suite 2D1
Wilmington, DE 19810-4900 - Phone
- (302) 983-6908
- Fax
- (302) 482-3543
- NPI assigned
- Oct 29, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. George Demetrios Moutsatsos, M.D.
- Title
- Member
- Phone
- (302) 540-2743
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | C1-0006169 | DE | Primary |
Addresses
Primary practice location
3521 Silverside Rd
Quillen Building Suite 2D1
Wilmington, DE 19810-4900
Mailing address
904 Westover Rd
Greenville, DE 19807-2981
Phone (302) 983-6908
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0001091101 | Medicaid | DE |
Other names 1
- Westover Cardiology
National Provider Directory
National Provider DirectoryLocations
222 Carter Dr
Ste 102
Middletown, DE 19709
Phone (302) 482-2035
5426 Summit Bridge Rd
Middletown, DE 19709
Phone (302) 482-2035
4755 Ogletown Stanton Rd
Ste 107
Newark, DE 19718
3521 Silverside Rd
Ste 2D1
Wilmington, DE 19810
Phone (302) 479-0555
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Registered Dietitian
- Wilmington, DE
- NPI 1124075585
-
- Internal Medicine Physician
- Newark, DE
- NPI 1811024631
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1288310400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1377475200000",
"number": "1447550918",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "904 WESTOVER RD",
"city": "GREENVILLE",
"state": "DE",
"postal_code": "198072981",
"telephone_number": "302-983-6908",
"fax_number": "302-482-3543"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3521 SILVERSIDE RD",
"address_2": "QUILLEN BUILDING SUITE 2D1",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "198104900",
"telephone_number": "302-983-6908",
"fax_number": "302-482-3543"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GEORGE MOUTSATSOS, MD CARDIOLOGY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-10-29",
"last_updated": "2013-08-26",
"status": "A",
"authorized_official_last_name": "MOUTSATSOS",
"authorized_official_first_name": "GEORGE",
"authorized_official_middle_name": "DEMETRIOS",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "302-540-2743",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "DE",
"license": "C1-0006169",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0001091101",
"state": "DE"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Westover Cardiology",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Wilmington, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.