MARLO MAGSANOC NICOLAS


Address: 4502 Medical Dr, San Antonio, TX 78229-4402
Phone: 2105674003

MARLO MAGSANOC NICOLAS (NPI# 1497724934) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1497724934
Entity Type Individual
Full Name MARLO MAGSANOC NICOLAS
Credential MD
Practice Address 4502 Medical Dr
San Antonio
TX 78229-4402
Mailing Address 7703 Floyd Curl Dr
Mc7977
San Antonio
TX 78229-3901
Practice Telephone 2105674003
Practice Fax Number 2105676729
Mailing Telephone 2104509000
Enumeration Date 2006-03-16
Last Update Date 2011-08-05
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207ZP0101X Pathology
Specialization: Anatomic Pathology
M1983 TX Allopathic & Osteopathic Physicians
Y 207ZP0102X Pathology
Specialization: Anatomic Pathology & Clinical Pathology
M1983 TX Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
TX 176185003 05
TX CSHCN 176185004 01

Office Location

Street Address 4502 MEDICAL DR
City SAN ANTONIO
State TX
Zip Code 78229-4402

Providers in the same location

NPI Name Taxonomy Address Enumeration
1528061017 Sandra E Sanchez-reilly Internal Medicine 4502 Medical Dr, San Antonio, TX 78229 2005-05-27
1356959217 Andrew Sharp Nurse Practitioner 4502 Medical Dr, San Antonio, TX 78229-4402 2020-07-16
1588280895 Juan Manuel Martinez Escallon Student in an Organized Health Care Education/Training Program 4502 Medical Dr, San Antonio, TX 78229-4402 2020-06-23
1982220331 Gabriel Roman Souza Student in an Organized Health Care Education/Training Program 4502 Medical Dr, San Antonio, TX 78229-4402 2020-06-22
1548883689 Sheldon Sugioka Radiologic Technologist 4502 Medical Dr, San Antonio, TX 78229-4402 2020-05-23
1306469895 Hrishikesh Das Student in an Organized Health Care Education/Training Program 4502 Medical Dr, San Antonio, TX 78229-4402 2020-05-19
1427671932 Jacob Daniel Weston Student in an Organized Health Care Education/Training Program 4502 Medical Dr, San Antonio, TX 78229-4402 2020-05-19
1396368882 Yimage Ahmed Surgery 4502 Medical Dr, San Antonio, TX 78229-4402 2020-05-19
1376165001 Jun Hung Student in an Organized Health Care Education/Training Program 4502 Medical Dr, San Antonio, TX 78229-4402 2020-05-15
1407477060 Nicolas Alexander Morton-gonzaba Student in an Organized Health Care Education/Training Program 4502 Medical Dr, San Antonio, TX 78229-4402 2020-05-05
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1245857226 Lyndsey A Sandoval Optometrist 7400 Minton Miner St, San Antonio, TX 78229 2020-06-25
1295355311 Nicolet Finger Student in an Organized Health Care Education/Training Program 7703 Floyd Curl Drive, Mc 7798, San Antonio, TX 78229 2020-04-18
1215557400 Amy Elizabeth Werry Clinical Neuropsychologist 7703 Floyd Circle Drive, San Antonio, TX 78229 2020-04-17
1740822972 Mohammad Safaie Yazdi Student in an Organized Health Care Education/Training Program Ut Health Science Center At San Antonio- Agdc, 8210 Floyd Curl Dr., Msc 8103, San Antonio, TX 78229 2019-10-09
1063053072 Blas Edward Villa Nurse Practitioner 7703 Floyd Curl Drive Mc 7885 Pulmonary Diseases & Crit, Medicine, San Antonio, TX 78229 2019-10-01
1124673942 Integrity Dme Services LLC Durable Medical Equipment & Medical Supplies 6323 Sovereign Dr, Suite # 170 Ab, San Antonio, TX 78229 2019-08-08
1730734120 Marisa Erin Leyden Speech-Language Pathologist Joe R. & Teresa Lozano Long Campus, 7703 Floyd Curl Dr., San Antonio, TX 78229 2019-08-03
1285295741 Alireza Ghezavati Student in an Organized Health Care Education/Training Program 7703 Floyd Curl Drive Mc 7750, Department of Pathology and Laboratory Medicine, San Antonio, TX 78229 2019-06-25
1407410285 Denae Cheyenne Rushing Student in an Organized Health Care Education/Training Program 8201 Floyd Curl Drive, San Antonio, TX 78229 2019-04-26
1265993570 Shehzad Amlani Student in an Organized Health Care Education/Training Program Address: 7703 Floyd Curl Dr, San Antonio, TX 78229 2019-03-28
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Taxonomy Information

Taxonomy Code 207ZP0102X
Grouping Allopathic & Osteopathic Physicians
Classification Pathology
Specialization Anatomic Pathology & Clinical Pathology

Taxonomy Definition

A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1184285587 Vipulkumar P Prajapati Pathology 7323 Snowden Rd Apt 3206, San Antonio, TX 78240 2019-06-26
1548793409 Grant Williams Pathology 3551 Roger Brooke Dr # Tx, Jbsa-fort Sam Houston, San Antonio, TX 78234-4504 2017-04-07
1447570775 Shannon Covey Pathology 4085 De Zavala, Suite 200, San Antonio, TX 78249 2010-06-09
1558680397 Nathan Teschan Pathology 3551 Roger Brooke Dr Bldg 1151, San Antonio, TX 78234-4504 2010-05-19
1902080823 Matthew A. Martin Pathology 2311 Wilderness Hl, San Antonio, TX 78231-1838 2007-12-27
1952511339 Memorial Urology Associates, Pa Pathology 7907 Fredricksburg, Suite 150 Rm J, San Antonio, TX 78229 2007-05-23
1467473520 Rachel-louise Beddard Pathology 22420 Fossil Path, San Antonio, TX 78261-2630 2006-07-22
1720048598 Denise Wright Francois Pathology 2020 Babcock Rd Ste 14, San Antonio, TX 78229-4437 2006-03-24
1558336537 Domingo J Rosario Pathology 3851 Roger Brooke Drive, Mche-qd (creds), Fort Sam Houston, San Antonio, TX 78234-6200 2006-02-22
1346210523 James L Humphreys Pathology 3300 Nacogdoches Rd, Suite 110, San Antonio, TX 78217-3373 2006-01-23
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Competitor

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City SAN ANTONIO
Zip Code 78229

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Dataset Information

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.

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