George Papanicolaou, MD PA

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

ME85966 Issued in FL

Legal business name

GEORGE PAPANICOLAOU, MD PA

Practice address

3272 W Lake Mary Blvd Ste 1810
Lake Mary, FL 32746-3589

Phone

(407) 478-3151

Fax

(407) 339-4267

NPI assigned

Oct 18, 2010

Organization subpart

No

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

Authorized official

Name

Dr. George Papanicolaou, MDNPI 1982895223

Title

President

Phone

(407) 478-3151

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• George Dimitrios Papanicolaou, M.D.

  • Plastic and Reconstructive Surgery Physician
  • Lake Mary, FL
  • NPI 1982895223

  Surgery of the Hand

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1287360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1699085175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3272 W LAKE MARY BLVD STE 1810",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327463589",
            "telephone_number": "407-478-3151",
            "fax_number": "407-339-4267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3272 W LAKE MARY BLVD STE 1810",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327463589",
            "telephone_number": "407-478-3151",
            "fax_number": "407-339-4267"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1035 Primera Blvd",
            "address_2": "1041",
            "address_purpose": "LOCATION",
            "city": "Lake Mary",
            "state": "FL",
            "postal_code": "327462193",
            "country_code": "US",
            "telephone_number": "407-478-3151",
            "fax_number": "407-339-4267",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GEORGE PAPANICOLAOU, MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-18",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "PAPANICOLAOU",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-478-3151",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Plastic Surgery",
            "state": "FL",
            "license": "ME85966",
            "primary": true
        },
        {
            "code": "2086S0105X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Surgery of the Hand",
            "state": "FL",
            "license": "ME85966",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001633300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lori Michelle Gendreau, PT
• General & Vascular Surgical Associates PA
• Gentle Care Dental PLLC
• Gentle Footcare of Lake Mary LLC
• Geo-Med, LLC
• Jiby Oommen George, MD FAAP
• Sarah S George, D.O.
• Treesa George
• Marissa Perri Geraghty, BCBA
• Sherry Labib Gergis, M.D.

• Plastic Surgery Physician in Lake Mary, FL
• Providers in Lake Mary, FL by specialty
• Plastic Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.