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).
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 |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TX | 176185003 | 05 | |
TX | CSHCN | 176185004 | 01 |
Street Address |
4502 MEDICAL DR |
City | SAN ANTONIO |
State | TX |
Zip Code | 78229-4402 |
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 |
Find all providers in the same location |
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 |
Find all providers in zip 78229 |
Taxonomy Code | 207ZP0102X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pathology |
Specialization | Anatomic Pathology & Clinical Pathology |
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. |
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 |
Find all providers in SAN ANTONIO |
City | SAN ANTONIO |
Zip Code | 78229 |
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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.