Individual provider Active NPI

Theodore Nasiotis, PA

  • Physician Assistant
  • Harker Heights, TX
National Provider Identifier
1407838212
Registry record updated Dec 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
300 W Central Texas Expy
Suite 115
Harker Heights, TX 76548-1885
Phone
(254) 833-8456
Fax
(254) 833-9162
NPI assigned
Nov 17, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

300 W Central Texas Expy
Suite 115
Harker Heights, TX 76548-1885

Mailing address

300 W Central Texas Expy
Suite 115
Harker Heights, TX 76548-1885
Phone (254) 833-8456

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1132185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1385856000000",
    "number": "1407838212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 W CENTRAL TEXAS EXPY",
            "address_2": "SUITE 115",
            "city": "HARKER HEIGHTS",
            "state": "TX",
            "postal_code": "765481885",
            "telephone_number": "254-833-8456",
            "fax_number": "254-833-9162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 W CENTRAL TEXAS EXPY",
            "address_2": "SUITE 115",
            "city": "HARKER HEIGHTS",
            "state": "TX",
            "postal_code": "765481885",
            "telephone_number": "254-833-8456",
            "fax_number": "254-833-9162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NASIOTIS",
        "first_name": "THEODORE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-17",
        "last_updated": "2013-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harker Heights, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2013; 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.