James W Georgitis, MD, FACS

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

009793 Issued in ME

Practice address

3 Medical Center Dr
Biddeford, ME 04005-9422

Phone

(207) 284-4597

Fax

(207) 282-9213

NPI assigned

Nov 8, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Coastal Surgical Associates

  • Surgery Physician
  • Biddeford, ME
  • NPI 1457420747
  NPD (past) Authorized official

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256774400000",
    "number": "1679642979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 HEALTHCARE DR",
            "address_2": "SUITE 201",
            "city": "BIDDEFORD",
            "state": "ME",
            "postal_code": "040059449",
            "telephone_number": "207-282-9080",
            "fax_number": "207-282-9180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 MEDICAL CENTER DR",
            "city": "BIDDEFORD",
            "state": "ME",
            "postal_code": "040059422",
            "telephone_number": "207-284-4597",
            "fax_number": "207-282-9213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEORGITIS",
        "first_name": "JAMES",
        "middle_name": "W",
        "credential": "MD, FACS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-08",
        "last_updated": "2009-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "ME",
            "license": "009793",
            "primary": true
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "ME",
            "license": "009793",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "262810099",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30207575",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cynthia Marie Gaudet, DO
• Shara Geiger, LCSW
• Genoa Healthcare LLC
• Andrew Paul Genova, PT, DPT, CMTPT, CSCS
• George E Abboud MD PA
• Shelby Allida Gerrior, PA
• Melissa Gerrish, LCSW
• Jocelyn Giammarino, OTR/L, LMT
• Brandon Elliot Giberson, D.O.
• Kristen Carter Gieras, LMSW-CC

• Surgery Physician in Biddeford, ME
• Providers in Biddeford, ME by specialty
• Surgery Physician in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2009; 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.