Organization Active NPI

George Moutsatsos, MD Cardiology LLC

  • Cardiovascular Disease Physician
  • Wilmington, DE
National Provider Identifier
1447550918
Registry record updated Aug 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
C1-0006169 Issued in DE
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

Updated by the provider on Aug 26, 2013

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)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
0001091101MedicaidDE

Other names 1

  • Westover Cardiology Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.