MR. STEVE KIRIAKO GEORGOPOULOS (NPI# 1043371487) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1043371487 |
Entity Type | Individual |
Full Name | MR. STEVE KIRIAKO GEORGOPOULOS |
Credential | M.D. |
Practice Address |
325 Meeting House Ln 405 Southampton NY 11968-5087 |
Practice Telephone | 6312835555 |
Practice Fax Number | 6312830345 |
Mailing Telephone | 6312835555 |
Mailing Fax Number | 6312830345 |
Enumeration Date | 2006-12-12 |
Last Update Date | 2009-02-02 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 174400000X | Specialist | 194726 | NY | Other Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NY | NY STATE M.D. LICENSE | 194726 | 01 |
NY | DEA | BG5269495 | 01 |
Street Address |
325 MEETING HOUSE LN 405 |
City | SOUTHAMPTON |
State | NY |
Zip Code | 11968-5087 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841290608 | Louis M Goldblum | Pediatrics | 325 Meeting House Ln, Southampton, NY 11968 | 2005-07-22 |
1700323326 | Sara Procak | Physician Assistant | 325 Meeting House Ln, Southampton, NY 11968-5087 | 2017-01-20 |
1699189191 | Hamptons Vein & Vascular PC | Specialist | 325 Meeting House Ln, Bldg 1, Suite A, Southampton, NY 11968-5087 | 2014-06-12 |
1538503487 | James Wai | Internal Medicine | 325 Meeting House Ln, Bldg 2 Suite 403, Southampton, NY 11968 | 2013-04-22 |
1295964740 | Southampton Physical Therapy PC | Clinic/Center | 325 Meeting House Ln, Southampton, NY 11968-5087 | 2009-07-06 |
1659508570 | Rajeev Santiago Fernando | Internal Medicine | 325 Meeting House Ln, Building #2, Southampton, NY 11968-5087 | 2009-06-18 |
1730325721 | Thelma Barker Gaetano | Pediatrics | 325 Meeting House Ln, Southampton, NY 11968-5087 | 2008-12-23 |
1134385909 | Olga L Mcabee | Psychiatry & Neurology | 325 Meeting House Ln, Bldg #2 1st Suite 301, Southampton, NY 11968-5087 | 2008-07-31 |
1013182591 | Lawrence J Tarasuk | Surgery | 325 Meeting House Ln, Bldg 2 Suite 403, Southampton, NY 11968-5087 | 2008-04-25 |
1689842379 | Brian Park | Dentist | 325 Meeting House Ln, Bldg #2 Suite 401, Southampton, NY 11968-5087 | 2008-02-14 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992333553 | Adam Spinner | Student in an Organized Health Care Education/Training Program | Stony Brook Southampton General Surgery, 240 Meeting House Lane, Southampton, NY 11968 | 2020-03-30 |
1538725205 | Blossom Counseling Services | Clinic/Center | 225 Old Point Rd, Southampton, NY 11968 | 2019-05-17 |
1386184679 | Oscar F. Mandes | Social Worker | 57 Hampton Road, Suite 201, Southampton, NY 11968 | 2017-03-06 |
1346780046 | Jacqueline Chantal Rosante | Physician Assistant | Meeting House Lane Medical Practice, PC Surgical Spec., 240, Southampton, NY 11968 | 2017-02-28 |
1316377260 | Empire Osteopathy LLC | Neuromusculoskeletal Medicine & OMM | 332a Canoe Place Road, Southampton, NY 11968 | 2013-11-13 |
1619225984 | Elizabeth Hope Piselli | Podiatrist | 365 County Road 39a Unit 9, Southampton, NY 11968 | 2012-08-16 |
1902164965 | University Hospital At Stony Brook | Clinic/Center | Church Street, Southampton, NY 11968 | 2012-04-27 |
1588933170 | Lindsey Dargan | Speech-Language Pathologist | 141 Narrow Lane, Southampton, NY 11968 | 2011-12-28 |
1013249069 | Justina Savarese | Speech-Language Pathologist | 168 Hill Street, Southampton, NY 11968 | 2010-02-02 |
1164541918 | Maria Radu | Dentist | 39 Inlet Rd East, Southampton, NY 11968 | 2007-03-29 |
Find all providers in zip 11968 |
Taxonomy Code | 174400000X |
Grouping | Other Service Providers |
Classification | Specialist |
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679007983 | Ilene Bomze | Specialist | 75 Toll Dr, Southampton, PA 18966-3074 | 2017-04-13 |
1063658771 | David Lawrence Sagman | Specialist | 4 Mountain Laurel Ln, Southampton, NY 11968-5414 | 2008-12-30 |
1093979973 | Richard Anthony Nigro I | Specialist | 24 Far Pond Rd, Southampton, NY 11968-4304 | 2008-07-10 |
1275564825 | Hampton Orthopedic and Sports Medicine PC | Specialist | 325 Meeting House Ln Bldg 2, Suite 301, Southampton, NY 11968-5087 | 2006-07-05 |
1568431609 | Dana Geller | Specialist | 130 Hills Station Rd, Southampton, NY 11968-3725 | 2006-03-14 |
1003887878 | Richard James Ricca | Specialist | 335a Meeting House Ln, Southampton, NY 11968-5051 | 2006-01-30 |
1134732134 | Stephanie Nicole Mueller | Specialist | 168 Hill St, Southampton, NY 11968-5337 | 2020-08-28 |
1386298818 | Brooke Ann Halloran | Specialist | 168 Hill St, Southampton, NY 11968-5337 | 2019-08-01 |
1881176220 | Colleen Carter | Specialist | 168 Hill Street, Southampton, NY 11968 | 2018-09-01 |
1962857987 | Aesthetic Md of Ny | Specialist | 61 Main St, 2nd Floor, Southampton, NY 11968-4870 | 2016-04-27 |
Find all providers in SOUTHAMPTON |
City | SOUTHAMPTON |
Zip Code | 11968 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.