Igor Siniakov, M.D., P.a.

Primary specialty

Dermatopathology PhysicianTaxonomy code 207ND0900X

License

M9660 Issued in TX

Legal business name

IGOR SINIAKOV, M.D., P.A.

Doing business as

Dermatology Clinic of West Texas

Practice address

3506 21St St
Ste 301
Lubbock, TX 79410-1212

Phone

(806) 438-8938

NPI assigned

May 13, 2009

Organization subpart

No

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

Authorized official

Name

Igor Siniakov, M.D.

Title

President

Phone

(806) 438-8938

Specialties & licenses 1

Addresses

Other names 1

• Dermatology Clinic of West Texas Doing business as

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

{
    "created_epoch": "1242172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242172800000",
    "number": "1528292901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3506 21ST ST",
            "address_2": "STE 301",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794101212",
            "telephone_number": "806-438-8938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3506 21ST ST",
            "address_2": "STE 301",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794101212",
            "telephone_number": "806-438-8938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IGOR SINIAKOV, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-13",
        "last_updated": "2009-05-13",
        "status": "A",
        "authorized_official_last_name": "SINIAKOV",
        "authorized_official_first_name": "IGOR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "806-438-8938",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207ND0900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology, Dermatopathology",
            "state": "TX",
            "license": "M9660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dermatology Clinic of West Texas",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Dermatopathology Physician in Lubbock, TX
• Providers in Lubbock, TX by specialty
• Dermatopathology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2009; 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.