Nikki Mourtzinos, D.O.

Primary specialty

Anatomic Pathology PhysicianTaxonomy code 207ZP0101X

License

DO034277 Issued in DC

Practice address

111 Michigan Ave NW
Department of Pathology
Washington, DC 20010-2916

Phone

(202) 476-2051

NPI assigned

Jul 7, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

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

{
    "created_epoch": "1246924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1247616000000",
    "number": "1558590844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 MICHIGAN AVE NW",
            "address_2": "DEPARTMENT OF PATHOLOGY",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200102916",
            "telephone_number": "202-476-2051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 MICHIGAN AVE NW",
            "address_2": "DEPARTMENT OF PATHOLOGY",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200102916",
            "telephone_number": "202-476-2051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOURTZINOS",
        "first_name": "NIKKI",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-07",
        "last_updated": "2009-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0101X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology",
            "state": "DC",
            "license": "DO034277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles Mountain, LICSW
• Jay Mason Mounteer, FNP-C
• Geoffrey G Mountvarner, M.D.
• Rachel M Moupia
• Dorothy Mouring
• Feryal Mousavi, MD
• Noura Moussa, D.D.S
• Nujuma Moussa, MD
• Seddi Moussari, DMD
• Elvis Moussi Nana, HHA

• Anatomic Pathology Physician in Washington, DC
• Providers in Washington, DC by specialty
• Anatomic Pathology Physician in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 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.