George Dimitrios Papanicolaou, M.D.

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

License

ME85966 Issued in FL

Practice address

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

Phone

(407) 478-3151

Fax

(407) 339-4267

NPI assigned

Aug 1, 2007

Last updated

Jul 21, 2022By the provider in NPPES

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 1

Medicare fee-for-service enrollment

Enrolled in FL

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

Specialty

Plastic and Reconstructive SurgeryAlso: General Surgery, Hand Surgery

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Adventhealth Orlando Hospital, Orlando, FL, CCN 100007
• Central Florida Lake Monroe Hospital Hospital, Sanford, FL, CCN 100161
• Orlando Health Hospital, Orlando, FL, CCN 100006

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• George Papanicolaou, MD PA

  • Plastic Surgery Physician
  • Lake Mary, FL
  • NPI 1699085175

  Surgery of the Hand

  Medicare reassignment NPD Authorized official
• Blue Ocean Dermatology LLC

  • Dermatology Physician
  • Port Orange, FL
  • NPI 1992045272
  Medicare reassignment NPD
• Dermatology Group PA

  • Specialist
  • Mount Dora, FL
  • NPI 1356300081
  Medicare reassignment NPD
• Skin Dermatology and Cosmetic Services, P.a.

  • Specialist
  • Orange City, FL
  • NPI 1205270824
  Medicare reassignment NPD
• Skin Dermatology and Cosmetic Services, P.a.

  • Dermatology Physician
  • Palm Coast, FL
  • NPI 1003582123
  NPD
• Blue Ocean Deramtology LLC

  • Dermatology Physician
  • New Smyrna Beach, FL
  • NPI 1184501611
  NPD (past)
• Dermatology on the Spot, LLC

  • Dermatology Physician
  • Port Orange, FL
  • NPI 1487058533
  NPD (past)
• Jewett Orthopaedic Clinic LLC

  • Orthopaedic Surgery Physician
  • Winter Park, FL
  • NPI 1821097437
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Adventist Health System-Sunbelt, Inc

  dba AdventHealth Orlando

  • General Acute Care Hospital
  • Orlando, FL
  • NPI 1306938071
  Care Compare affiliation
• Adventist Health System-Sunbelt, Inc

  dba AdventHealth Orlando Outreach Laboratory

  • Clinical Medical Laboratory
  • Orlando, FL
  • NPI 1801569728

  Hospital

  Care Compare affiliation
• Central Florida Regional Hospital, Inc

  dba HCA Florida Lake Monroe Hospital

  • General Acute Care Hospital
  • Sanford, FL
  • NPI 1285681908
  Care Compare affiliation
• Orlando Health, Inc.

  • General Acute Care Hospital
  • Orlando, FL
  • NPI 1184709057
  Care Compare affiliation

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

{
    "created_epoch": "1185926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1982895223",
    "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": [],
    "basic": {
        "last_name": "PAPANICOLAOU",
        "first_name": "GEORGE",
        "middle_name": "DIMITRIOS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-01",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0105X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgery of the Hand",
            "state": "FL",
            "license": "ME85966",
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "FL",
            "license": "ME85966",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001633300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christen Painter
• Jamika Lucille Palmer
• Ramit Panara, M.D.
• Jennifer Pandel, B.S.
• Margi K Pandya, BPHARM
• Toni Paramore
• Ryan Parco, DPT
• Mansi Parikh, PT
• Andricka Nicole Parker
• Brianne Elizabeth Parker, PA-C

• Plastic and Reconstructive Surgery Physician in Lake Mary, FL
• Providers in Lake Mary, FL by specialty
• Plastic and Reconstructive 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; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.