HIRUT NICODIMOS (NPI# 1003058819) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003058819 |
| Entity Type | Individual |
| Full Name | HIRUT NICODIMOS |
| Practice Address |
302 University Blvd Round Rock TX 78665-1032 |
| Practice Telephone | 5125090200 |
| Mailing Telephone | 5125090200 |
| Enumeration Date | 2009-03-26 |
| Last Update Date | 2013-03-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207XS0117X |
Orthopaedic Surgery Specialization: Orthopaedic Surgery of the Spine |
PA06188 | TX | Allopathic & Osteopathic Physicians |
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA06188 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA06188 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
302 UNIVERSITY BLVD |
| City | ROUND ROCK |
| State | TX |
| Zip Code | 78665-1032 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225031305 | Douglas Martin | Otolaryngology | 302 University Blvd, Round Rock, TX 78665-1032 | 2005-05-23 |
| 1447871538 | Miranda Harman | Speech-Language Pathologist | 302 University Blvd, Round Rock, TX 78665-1032 | 2020-04-30 |
| 1639715667 | Rosalyn Velasquez | Physician Assistant | 302 University Blvd, Round Rock, TX 78665-1032 | 2019-11-25 |
| 1407311434 | Robin Hupp | Registered Nurse | 302 University Blvd, Round Rock, TX 78665-1032 | 2019-02-04 |
| 1740767334 | Kimberly Kidd Bushe | Registered Nurse | 302 University Blvd, Round Rock, TX 78665-1032 | 2018-07-26 |
| 1508355801 | Efrat Tsabari | Physician Assistant | 302 University Blvd, Round Rock, TX 78665-1032 | 2018-05-02 |
| 1255830345 | Stefany Delascurain | Physician Assistant | 302 University Blvd, Round Rock, TX 78665 | 2018-02-05 |
| 1265930515 | Jessica Dinneen Grenard | Physician Assistant | 302 University Blvd, Round Rock, TX 78665-1032 | 2018-01-31 |
| 1114445574 | Brittney Morgan Thompson | Audiologist | 302 University Blvd, Round Rock, TX 78665-1032 | 2017-09-06 |
| 1669918652 | Adriana Ribeiro | Speech-Language Pathologist | 302 University Blvd, Round Rock, TX 78665 | 2017-01-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992314306 | Prolab Incorporated | Clinical Medical Laboratory | Pro-lab Diagnostics Us, 21 Cypress Blvd. Ste. 1155, Round Rock, TX 78665 | 2020-07-31 |
| 1902420391 | Seton Family of Doctors | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 201 University Oaks Blvd, Suite 1260, Round Rock, TX 78665 | 2020-06-02 |
| 1629538848 | Julie Mai Nguyen | Student in an Organized Health Care Education/Training Program | 425 University Blvd., Suite 300, Ms-m2 3.006, Round Rock, TX 78665 | 2019-03-22 |
| 1881154177 | Emily Victoria Bergstrom | Student in an Organized Health Care Education/Training Program | Baylor Scott & White Clinic, 425 University Blvd., Suite 345, Round Rock, TX 78665 | 2019-03-22 |
| 1710473210 | Brandi Weldon | Doula | 1561 Kenneys Way, Round Rock, TX 78665 | 2018-07-08 |
| 1528564531 | Stacy Danielle Arrington | Student in an Organized Health Care Education/Training Program | Baylor Scott & White Medical Center- Round Rock, 425 University Blvd, Suite 300, Ms-m2 3.005, Round Rock, TX 78665 | 2018-03-30 |
| 1386152601 | Stephanie Michelle Martinez | Behavioral Analyst | 1503 Balsam Way, Round Rock, TX 78665 | 2018-01-22 |
| 1245758507 | The Natural Birthing Center, LLC | Clinic/Center | 1101 Satellite View Suite 104, Round Rock, TX 78665 | 2017-09-06 |
| 1386160554 | Bloom Consulting, LLC | Community/Behavioral Health | 3001 Joe Dimaggio Blvd Ste 800, Round Rock, TX 78665 | 2017-08-18 |
| 1508387226 | Ipyana Anyelwisye | Psychologist | 3636 Short Horn Ln, Round Rock, TX 78665 | 2017-07-03 |
| Find all providers in zip 78665 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164080685 | Shaina Mccullough | Physician Assistant | 1717 N Interstate 35 Ste 200, Round Rock, TX 78664-2901 | 2019-05-30 |
| 1033510151 | Shobha Mathew David | Physician Assistant | 201 University Blvd., Suite 1260, Round Rock, TX 78665 | 2014-09-08 |
| 1538490719 | Debra Kay Smith | Physician Assistant | One Dell Way, Mailstop Rr 8-49 Well At Dell Health Center, Round Rock, TX 78682 | 2010-01-27 |
| 1538338306 | Round Rock Mental Health Pa | Physician Assistant | 1717 N Ih 35 Ste 200, Round Rock, TX 78664-2901 | 2008-02-26 |
| 1760412738 | Julie Anne Schueller | Physician Assistant | 117-b Louis Henna Blvd., Suite 200, Round Rock, TX 78664 | 2006-07-04 |
| 1225021058 | Julie Anne Huela | Physician Assistant | 1240 E Palm Valley Blvd, Round Rock, TX 78664-3202 | 2005-08-26 |
| 1255830345 | Stefany Delascurain | Physician Assistant | 302 University Blvd, Round Rock, TX 78665 | 2018-02-05 |
| 1407366230 | Laura Lovins | Physician Assistant | 4681 College Park, Round Rock, TX 78665-1526 | 2017-10-06 |
| 1699217877 | Elinore Marie Schmidt | Physician Assistant | 7200 Wyoming Springs Dr, Ste. 600, Round Rock, TX 78681-4303 | 2016-11-05 |
| 1972961407 | Kaitlyn Wilkins | Physician Assistant | 2120 N Mays St Ste 430, Round Rock, TX 78664-2108 | 2016-01-28 |
| Find all providers in ROUND ROCK | ||||
| City | ROUND ROCK |
| Zip Code | 78665 |
Please comment or provide details below to improve the information on HIRUT NICODIMOS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.