Mary Ann Nickerson MD Facog PA

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

License

F6997 Issued in TX

Legal business name

MARY ANN NICKERSON MD FACOG PA

Practice address

1700 Curie Dr
Ste 3600
El Paso, TX 79902-2905

Phone

(915) 532-6552

Fax

(915) 542-3329

NPI assigned

May 9, 2006

Last updated

Aug 22, 2020By 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

Dr. Mary Ann Nickerson, MDNPI 1427007285

Title

President

Phone

(915) 532-6552

Specialties & licenses 1

Addresses

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.

• Mary Ann Nickerson, M.D.

  • Gynecology Physician
  • El Paso, TX
  • NPI 1427007285
  Authorized official Same address or phone

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

{
    "created_epoch": "1147132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1326097999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "907 E BALTIMORE DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799022423",
            "telephone_number": "915-532-6552",
            "fax_number": "915-542-3329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 CURIE DR",
            "address_2": "STE 3600",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799022905",
            "telephone_number": "915-532-6552",
            "fax_number": "915-542-3329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY ANN NICKERSON MD FACOG PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NICKERSON",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "915-532-6552",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "TX",
            "license": "F6997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vivian Claire Martinez
• Wendy Martinez, MD
• Yeojin Martinez
• Cody K Martini, CRNA
• Sam Marusich, CRNA
• Mary Jo Wright MD, PA
• Mary K. Curley, M.a., LPC
• Maryann Obi (good shepard home health agency)
• Emilio Marzan, D.O.
• Issam Marzouk, M.D.

• Gynecology Physician in El Paso, TX
• Providers in El Paso, TX by specialty
• Gynecology 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.