Andreas C. Nikolaidis M.D., P.a.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

L3042 Issued in TX

Legal business name

ANDREAS C. NIKOLAIDIS M.D., P.A.

Practice address

24375 FM 1314 Rd
Porter, TX 77365-4205

Phone

(281) 354-5663

Fax

(281) 354-1995

NPI assigned

Aug 27, 2007

Organization subpart

No

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

Authorized official

Name

Kimberly Allen

Title

Office Coordinator

Phone

(281) 354-5663

Specialties & licenses 1

Addresses

Other identifiers 1

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, MD, PA

  • Pediatrics Physician
  • Porter, TX
  • NPI 1376868232
  NPD tax ID

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

{
    "created_epoch": "1188172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188172800000",
    "number": "1780877415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "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"
        },
        {
            "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 M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-27",
        "last_updated": "2007-08-27",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "OFFICE COORDINATOR",
        "authorized_official_telephone_number": "281-354-5663"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "L3042",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD",
            "identifier": "0074HX",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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

• 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 Aug 27, 2007; 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.