Andreas C Nikolaidis, MD, PA

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

L3042 Issued in TX

Legal business name

ANDREAS C NIKOLAIDIS, MD, PA

Doing business as

Andreas C Nikolaidis, MD, PA

Practice address

24375 FM 1314 Rd
Porter, TX 77365-4205

Phone

(281) 354-5663

Fax

(281) 354-1995

NPI assigned

Apr 5, 2010

Organization subpart

No

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

Authorized official

Name

Andreas C Nikolaidis, M.D.

Title

Administrator

Phone

(281) 354-5663

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Andreas C Nikolaidis, MD, PA Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Andreas C Nikolaidis MD PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Andreas C. Nikolaidis M.D., P.a.

  • Pediatrics Physician
  • Porter, TX
  • NPI 1780877415
  NPD tax ID

Locations

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

{
    "created_epoch": "1270425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270425600000",
    "number": "1376868232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24375 FM 1314 RD",
            "address_2": "PO BOX 734",
            "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": "ANDREAS C NIKOLAIDIS, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-05",
        "last_updated": "2010-04-05",
        "status": "A",
        "authorized_official_last_name": "NIKOLAIDIS",
        "authorized_official_first_name": "ANDREAS",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "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": "L3042",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "151052102",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "151052103",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "151052101",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Andreas C Nikolaidis, MD, PA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ana Amador, LSA
• Amam53 PLLC (Porter Smiles Dental)
• Amigo Pediatric Home Therapy
• Amor Homecare Inc of Texas
• Deborah E Andersen, SLP-CCC
• Andreas C. Nikolaidis M.D., P.a.
• Faunda Nicola Armstrong, M.D.
• Atc Home Health, LLC (VitalCaring Group)
• Karla Avila, COTA/L
• Ann Bakama, FNP-BC

• 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 Apr 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.