Maria D. Nikolaidis, M.D., P.a.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

E4032 Issued in TX

Legal business name

MARIA D. NIKOLAIDIS, M.D., P.A.

Practice address

24375 FM 1314 Rd
Porter, TX 77365-4205

Phone

(281) 354-5663

Fax

(281) 354-1995

NPI assigned

Feb 26, 2007

Organization subpart

No

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

Authorized official

Name

Maria D. Nikolaidis, M.D.

Title

Senior Medical Director

Phone

(281) 354-5663

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1295861946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24375 FM 1314 RD",
            "city": "PORTER",
            "state": "TX",
            "postal_code": "773654205",
            "telephone_number": "281-354-5663",
            "fax_number": "281-354-1995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24375 FM 1314 RD",
            "city": "PORTER",
            "state": "TX",
            "postal_code": "773654205",
            "telephone_number": "281-354-5663",
            "fax_number": "281-354-1995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIA D. NIKOLAIDIS, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NIKOLAIDIS",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "SENIOR MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "281-354-5663",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "E4032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pediatrics Physician in Porter, TX
• Providers in Porter, TX by specialty
• Pediatrics Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.