DR. NICOLAS-GEORGE KATSANTONIS (NPI# 1710320510) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710320510 |
| Entity Type | Individual |
| Full Name | DR. NICOLAS-GEORGE KATSANTONIS |
| Credential | MD |
| Practice Address |
4600 Lake Boone Trl Ste 100 Raleigh NC 27607 |
| Mailing Address |
2146 Belcourt Ave Vmg Business Office Nashville TN 37212-3504 |
| Practice Telephone | 9198098123 |
| Practice Fax Number | 9195718135 |
| Enumeration Date | 2013-04-10 |
| Last Update Date | 2018-07-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | 2018-00649 | NC | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1215 21st Ave S, 7209 Medical Center East-south Tower, Nashville, TN 372328605 | 6153436972 | 6158755559 |
| Street Address |
4600 LAKE BOONE TRL STE 100 |
| City | RALEIGH |
| State | NC |
| Zip Code | 27607 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053965491 | Michelle H Miller | Audiologist | 4600 Lake Boone Trl Ste 100, Raleigh, NC 27607-7529 | 2019-07-24 |
| 1093236549 | Katherine Leigh Janczewski | Audiologist | 4600 Lake Boone Trl Ste 100, Raleigh, NC 27607-7529 | 2017-07-05 |
| 1891229894 | Paige Waddell | Audiologist | 4600 Lake Boone Trl Ste 100, Raleigh, NC 27607-7529 | 2017-04-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972093144 | Kyndra Lawson | Behavior Technician | 5121 Kingdom Way, Suite 100, Raleigh, NC 27607 | 2018-05-14 |
| 1578082905 | Margaret Roberts Bova | Dietitian, Registered | 4207 Lake Boone Trail, Suite 210, Raleigh, NC 27607 | 2017-09-18 |
| 1184141897 | Chricat Garrard | Nurse Practitioner | 4207 Lake Boone Trl Ste 200, Raleigh, NC 27607 | 2017-08-23 |
| 1487178620 | John Patrick Morton | Pharmacist | 2411 Landmark Dr, Raleigh, NC 27607 | 2017-07-31 |
| 1023538857 | Heather Margaret Mazzola | Audiologist | 7800 Lake Boone Trail, 100, Raleigh, NC 27607 | 2017-06-22 |
| 1790216984 | North Carolina Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 2411 Landmark Drive, Raleigh, NC 27607 | 2017-03-21 |
| 1558819516 | Corilin Nocito Meggitt | Nurse Practitioner | 4505 Fair Meadows Ln Ste 102, Raleigh, NC 27607 | 2016-09-19 |
| 1942757034 | Stacie Walker | Obstetrics & Gynecology | 4414 Lake Boone Trl Ste 311, Raleigh, NC 27607 | 2016-09-06 |
| 1831644533 | Alisa Smajlagic Howe | Nurse Practitioner | 4210 Lake Boone Trail, Rex Rehab & Nursing Center, Raleigh, NC 27607 | 2016-08-23 |
| 1235598632 | Yoseph Saleh | Dentist | 107 Minden Ln, Raleigh, NC 27607 | 2016-02-15 |
| Find all providers in zip 27607 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346595238 | Bethany Lisi Buie | Otolaryngology | 3024 New Bern Ave Ste 200, Raleigh, NC 27610-1247 | 2012-07-17 |
| 1528390697 | Fred F. Holt | Otolaryngology | 4928 Misty Oak Dr, Raleigh, NC 27613-6348 | 2010-02-01 |
| 1699972307 | Jeevan B Ramakrishnan | Otolaryngology | 4600 Lake Boone Trl, Suite 100, Raleigh, NC 27607-7501 | 2007-06-27 |
| 1205971934 | Robert Powell Majors Jr. | Otolaryngology | 3508 Williamsborough Ct, Raleigh, NC 27609-6354 | 2007-02-20 |
| 1558370734 | Brett Edward Dorfman | Otolaryngology | 11200 Governor Manly Way Ste 110, Raleigh, NC 27614-7360 | 2006-08-05 |
| 1124043823 | Henry Clifford Baggett | Otolaryngology | 2518 Wake Dr, Raleigh, NC 27608-1340 | 2006-07-13 |
| 1730112442 | Barbara A Burggraaff | Otolaryngology | 5603 Duraleigh Rd Ste B, Raleigh, NC 27612-2688 | 2006-07-08 |
| 1194769752 | Timothy James Heffron | Otolaryngology | 10880 Durant Rd Ste 124, Raleigh, NC 27614-6629 | 2006-06-15 |
| 1043250822 | Magda El Raheb Pugh | Otolaryngology | 10010 Falls of Neuse Suite 012, Raleigh, NC 27614 | 2006-06-08 |
| 1326040700 | Irenee M Duncan | Otolaryngology | 2507 Kenmore Dr, Raleigh, NC 27608-1419 | 2005-08-15 |
| Find all providers in RALEIGH | ||||
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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.