NPIMap

Organization Active NPI

Georgis Patsias MD PA

  • Urology Physician
  • Wellington, FL
National Provider Identifier
1629096540
Registry record updated Aug 15, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
ME0049282 Issued in FL
Legal business name
GEORGIS PATSIAS MD PA
Practice address
1397 Medical Park Blvd
Suite 260
Wellington, FL 33414-6108
Phone
(561) 753-3787
Fax
(561) 753-3793
NPI assigned
Jul 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2007

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

Authorized official

Name
Georgis Patisias, M.D.
Title
Owner
Phone
(561) 753-3787

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X ME0049282 FL Primary

Addresses

Primary practice location

1397 Medical Park Blvd
Suite 260
Wellington, FL 33414-6108

Mailing address

1397 Medical Park Blvd
Suite 260
Wellington, FL 33414-6108
Phone (561) 753-3787

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187136000000",
    "number": "1629096540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1397 MEDICAL PARK BLVD",
            "address_2": "SUITE 260",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334146108",
            "telephone_number": "561-753-3787",
            "fax_number": "561-753-3793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1397 MEDICAL PARK BLVD",
            "address_2": "SUITE 260",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334146108",
            "telephone_number": "561-753-3787",
            "fax_number": "561-753-3793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGIS PATSIAS MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-18",
        "last_updated": "2007-08-15",
        "status": "A",
        "authorized_official_last_name": "PATISIAS",
        "authorized_official_first_name": "GEORGIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-753-3787",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "FL",
            "license": "ME0049282",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wellington, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2007; 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.