NPIMap

Organization Active NPI

George P Meltsakos PC

  • Internal Medicine Physician
  • Lowell, MA
National Provider Identifier
1821075789
Registry record updated Apr 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
72329 Issued in MA
Legal business name
GEORGE P MELTSAKOS PC
Practice address
33 Bartlett St
Suite 504
Lowell, MA 01852-1334
Phone
(978) 458-9651
Fax
(978) 970-0378
NPI assigned
Dec 30, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2016

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

Authorized official

Name
George P. Meltsakos, M.D.
Title
Owner
Phone
(978) 458-9651

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 72329 MA Primary

Addresses

Primary practice location

33 Bartlett St
Suite 504
Lowell, MA 01852-1334

Mailing address

33 Bartlett St
Suite 504
Lowell, MA 01852-1334
Phone (978) 458-9651

Other identifiers 1

IdentifierTypeStateIssuer
9785639MedicaidMA

National Provider Directory

National Provider Directory

Locations

33 Bartlett St
Ste 504
Lowell, MA 01852
Phone (978) 458-6212

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1135900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460073600000",
    "number": "1821075789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 BARTLETT ST",
            "address_2": "SUITE 504",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "018521334",
            "telephone_number": "978-458-9651",
            "fax_number": "978-970-0378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 BARTLETT ST",
            "address_2": "SUITE 504",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "018521334",
            "telephone_number": "978-458-9651",
            "fax_number": "978-970-0378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGE P MELTSAKOS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-30",
        "last_updated": "2016-04-08",
        "status": "A",
        "authorized_official_last_name": "MELTSAKOS",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "978-458-9651",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "72329",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9785639",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lowell, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2016; 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.