George P Kacoyanis MD Facs LLC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

46099 Issued in MA

Legal business name

GEORGE P KACOYANIS MD FACS LLC

Practice address

500 Cummings Ctr Ste 1800
Beverly, MA 01915-6141

Phone

(978) 821-2922

Fax

(978) 921-1534

NPI assigned

Jul 19, 2017

Last updated

Jan 21, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

George P Kacoyanis, MDNPI 1740373737

Title

Owner

Phone

(978) 821-2922

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

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, and the practitioner matching its NPPES authorized official.

• George P Kacoyanis, MD

  • Surgery Physician
  • Beverly, MA
  • NPI 1740373737
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1500422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548028800000",
    "number": "1932622131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 UNITED DR STE 102",
            "city": "W BRIDGEWATER",
            "state": "MA",
            "postal_code": "023791027",
            "telephone_number": "508-238-8646",
            "fax_number": "508-230-9772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 CUMMINGS CTR STE 1800",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019156141",
            "telephone_number": "978-821-2922",
            "fax_number": "978-921-1534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGE P KACOYANIS MD FACS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-19",
        "last_updated": "2019-01-21",
        "status": "A",
        "authorized_official_last_name": "KACOYANIS",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "978-821-2922",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "MA",
            "license": "46099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Surgery Physician in Beverly, MA
• Providers in Beverly, MA by specialty
• Surgery Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2019; 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.