George Kondylis, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

154305 Issued in MA

Practice address

1 General St
Lawrence, MA 01841-2961

Phone

(978) 683-4000

NPI assigned

Oct 6, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

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

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.

• Lawrence General Hospital

  dba Merrimack Health Lawrence Hospital

  • General Acute Care Hospital
  • Lawrence, MA
  • NPI 1750381281

  Emergency Medicine

  Medicare reassignment NPD
• General Primary Care of Lawrence

  • Hospitalist Physician
  • Lawrence, MA
  • NPI 1801023189
  NPD
• Lawrence General Hospital

  dba LGH Vaccination Clinic

  • Allergy & Immunology Physician
  • Lawrence, MA
  • NPI 1881272102
  NPD

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

{
    "created_epoch": "1128556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1720075534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 GENERAL STREET",
            "city": "LAWRENCE",
            "state": "MA",
            "postal_code": "01842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 GENERAL ST",
            "city": "LAWRENCE",
            "state": "MA",
            "postal_code": "018412961",
            "telephone_number": "978-683-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KONDYLIS",
        "first_name": "GEORGE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MA",
            "license": "154305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen Emery Knight
• Maria Knight
• Haleigh Elizabeth Knowlton, MA, CCC-SLP
• Diane Elise Koller
• Caroline Komanecky, MD
• Elisa Ann Koppelman, MSW, LICSW
• Andrea Marie Koralishn, BS
• Emily Korb
• Riley Korengel
• Daphne Korsah

• Emergency Medicine Physician in Lawrence, MA
• Providers in Lawrence, MA by specialty
• Emergency Medicine Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.