Cooley G Pantazis, MD

Primary specialty

Clinical Pathology/Laboratory Medicine PhysicianTaxonomy code 207ZP0105X

License

ME75579 Issued in FL

Practice address

1500 SW 1St St
Ocala, FL 34471-6504

Phone

(352) 351-7262

Fax

(352) 402-5047

NPI assigned

Mar 7, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 8

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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.

Enrollment records 1

Specialty

Pathology

Education

University of Texas Medical School at San Antonio, 1975

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cooley George Pantazis, MD PAGroup PAC ID 8325364649, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Adventhealth Ocala Hospital, Ocala, FL, CCN 100062

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Cooley George Pantazis, MD PA

  • Anatomic Pathology & Clinical Pathology Physician
  • Ocala, FL
  • NPI 1831594514
  Medicare reassignment Care Compare group NPD Authorized official
• Hemacon Laboratories

  • Clinical Medical Laboratory
  • Gainesville, FL
  • NPI 1376599530
  NPD Authorized official
• Cooley George Pantazis, MD PA

  • Anatomic Pathology & Clinical Pathology Physician
  • Ocala, FL
  • NPI 1053280800
  NPD (past) Authorized official
• Cooley George Pantazis, MD PA

  • Anatomic Pathology & Clinical Pathology Physician
  • Ocala, FL
  • NPI 1568031342
  NPD (past) Authorized official
• Cooley George Pantazis, MD PA

  • Anatomic Pathology & Clinical Pathology Physician
  • Belleview, FL
  • NPI 1952073041
  NPD (past) Authorized official

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Florida Hospital Ocala Inc

  • General Acute Care Hospital
  • Ocala, FL
  • NPI 1740772268
  Care Compare affiliation

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

{
    "created_epoch": "1141689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1281052800000",
    "number": "1467429720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 63069",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294193069",
            "telephone_number": "352-351-7263",
            "fax_number": "352-622-3672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 SW 1ST ST",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344716504",
            "telephone_number": "352-351-7262",
            "fax_number": "352-402-5047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANTAZIS",
        "first_name": "COOLEY",
        "middle_name": "G",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-07",
        "last_updated": "2010-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207SC0300X",
            "taxonomy_group": "",
            "desc": "Medical Genetics, Clinical Cytogenetics",
            "state": "FL",
            "license": "ME75579",
            "primary": false
        },
        {
            "code": "207ZC0500X",
            "taxonomy_group": "",
            "desc": "Pathology, Cytopathology",
            "state": "FL",
            "license": "ME75579",
            "primary": false
        },
        {
            "code": "207ZH0000X",
            "taxonomy_group": "",
            "desc": "Pathology, Hematology",
            "state": "FL",
            "license": "ME75579",
            "primary": false
        },
        {
            "code": "207ZI0100X",
            "taxonomy_group": "",
            "desc": "Pathology, Immunopathology",
            "state": "FL",
            "license": "ME75579",
            "primary": false
        },
        {
            "code": "207ZP0007X",
            "taxonomy_group": "",
            "desc": "Pathology, Molecular Genetic Pathology",
            "state": "FL",
            "license": "ME75579",
            "primary": false
        },
        {
            "code": "207ZP0101X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology",
            "state": "FL",
            "license": "ME75579",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "GA",
            "license": "022259",
            "primary": false
        },
        {
            "code": "207ZP0105X",
            "taxonomy_group": "",
            "desc": "Pathology, Clinical Pathology/Laboratory Medicine",
            "state": "FL",
            "license": "ME75579",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cielo Palomo
• Chirag Ramesh Panchal, DMD
• Jayanti J. Panchal, M.D.
• Antonette C Pangan-Zayas, P.T.
• Elizabeth A Pantages
• Panzer Concierge Medicine LLC
• Todd R Panzer, APRN-C
• Kristy Paquette, DPT
• Paradigm Shift in Ocala, Inc
• Brooke Paradis

• Clinical Pathology/Laboratory Medicine Physician in Ocala, FL
• Providers in Ocala, FL by specialty
• Clinical Pathology/Laboratory Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.