DR. NIKKI MOURTZINOS (NPI# 1558590844) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558590844 |
| Entity Type | Individual |
| Full Name | DR. NIKKI MOURTZINOS |
| Credential | D.O. |
| Practice Address |
111 Michigan Ave Nw Department of Pathology Washington DC 20010-2916 |
| Practice Telephone | 2024762051 |
| Mailing Telephone | 2024762051 |
| Enumeration Date | 2009-07-07 |
| Last Update Date | 2009-07-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0101X |
Pathology Specialization: Anatomic Pathology |
DO034277 | DC | Allopathic & Osteopathic Physicians |
| Street Address |
111 MICHIGAN AVE NW DEPARTMENT OF PATHOLOGY |
| City | WASHINGTON |
| State | DC |
| Zip Code | 20010-2916 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902809197 | Jeffrey S Dome | Pediatrics | 111 Michigan Ave Nw, Children's National Medical Center, Washington, DC 20010-2916 | 2005-05-23 |
| 1679174700 | Nkemdilim Okonkwo | Nurse Practitioner | 111 Michigan Ave Nw, Washington, DC 20010-2916 | 2020-11-04 |
| 1740881127 | Imtinan Mohammed Barnawi | Student in an Organized Health Care Education/Training Program | 111 Michigan Ave Nw, Washington, DC 20010-2916 | 2020-11-03 |
| 1922609312 | Madison Gogol | Speech-Language Pathologist | 111 Michigan Ave Nw, Washington, DC 20010-2916 | 2020-11-03 |
| 1932700291 | Kimberly Ann Wood | Speech-Language Pathologist | 111 Michigan Ave Nw, Washington, DC 20010-2916 | 2020-11-03 |
| 1336746999 | Yves Antoine D'udekem D'acoz | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 111 Michigan Ave Nw, Washington, DC 20010-2916 | 2020-10-07 |
| 1376150599 | Alexandra Gervais | Pediatrics | 111 Michigan Ave Nw, Washington, DC 20010-2916 | 2020-09-30 |
| 1275140378 | Satoshi Miyairi | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 111 Michigan Ave Nw, Washington, DC 20010-2916 | 2020-09-23 |
| 1093321317 | Melissa Renee Dvorsky | Psychologist | 111 Michigan Ave Nw, Washington, DC 20010-2916 | 2020-09-22 |
| 1538775515 | Temitope Ajayi | Registered Nurse | 111 Michigan Ave Nw, Washington, DC 20010-2916 | 2020-09-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134728397 | Blueiris LLC | Clinic/Center | 3318 Georgia Ave Nw, Unit 13, Washington, DC 20010 | 2020-10-20 |
| 1700425618 | Eve Kronzek | Audiologist | Children's National Hospital, 111 Michigan Ave Nw, Suite 1250, Washington, Dc, DC 20010 | 2019-12-26 |
| 1366085169 | Jakeline Xochitl Merino | Nurse Practitioner | 106 Irving At Nw, Suite 419, Washington Dc, DC 20010 | 2019-10-24 |
| 1710548110 | Ebrahim Hasan Khan | Student in an Organized Health Care Education/Training Program | 110 Irving St Nw Dept of Int Med, Washington, DC 20010 | 2019-06-26 |
| 1932660362 | Matthew Joseph Moon | Physician Assistant | Medstar Washington Hospital Center - Sicu, 110 Irving Street Nw, Washington, DC 20010 | 2019-03-28 |
| 1316407463 | Rabia Idrees | Student in an Organized Health Care Education/Training Program | 110 Irving St. Nw Dept of Internal Medicine, Washington, DC 20010 | 2019-03-24 |
| 1588124168 | Nishita Patel | Student in an Organized Health Care Education/Training Program | 110 Irving St. Nw Dept of Obstetrics and Gynecology, Washington, DC 20010 | 2019-03-21 |
| 1861958035 | Melissa Ann Williams | Home Health Aide | 3506 Georgia Ave Nw #102, Washington, DC 20010 | 2019-02-13 |
| 1073080602 | Jingzhe Gao | Registered Nurse | Medstar National Rehabilitation Network, 102 Irving Street, Nw, Washington, DC 20010 | 2018-11-01 |
| 1487140737 | Anees Musallam Sr. | Student in an Organized Health Care Education/Training Program | 110 Irving St. Nw Dept of Interventional Cardiology, Washington, DC 20010 | 2018-07-09 |
| Find all providers in zip 20010 | ||||
| Taxonomy Code | 207ZP0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic 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. [7/1/2007: definition added, source added, 7/1/2009: defintion reformatted; 7/1/2011: modified source] - Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/. American Osteopathic Board of Pathology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology (note: this taxonomy code identifies the "anatomic pathology only" route). 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 |
|---|---|---|---|---|
| 1225200959 | Christopher Thomas Rossi | Pathology | 2300 I Street Nw, 502 Ross Hall, Washington, DC 20037 | 2008-04-02 |
| 1801857404 | Aaron Auerbach | Pathology | 6825 16th St. N.w., Bldg 54, Room 2048, Washington, DC 20306-6000 | 2006-03-31 |
| 1912968611 | Dennis Knight Heffner | Pathology | 14th Street and Alaska Ave. (afip), Ent Pathology, Washington, DC 20306-0001 | 2006-03-31 |
| 1447236856 | John F. Fetsch | Pathology | Armed Forces Institute of Pathology, 14th Street & Alaska Ave, Nw, Washington, DC 20306-6000 | 2005-12-16 |
| 1881679249 | Sumitra L Parekh | Pathology | 6825 16th Street N.w, Washington, DC 20306 | 2005-12-08 |
| 1316921315 | Clara Heffess | Pathology | 6825 16th St.,n.w., Washington, DC 20306 | 2005-12-02 |
| 1417401324 | Sun A Kim | Pathology | 2150 Pennsylvania Ave Nw, Washington, DC 20037-3201 | 2016-08-09 |
| 1831448786 | Avi Z Rosenberg | Pathology | 111 Michigan Ave Nw, Washington, DC 20010-2916 | 2012-09-06 |
| 1467729780 | Clarence Richard Schlegel | Pathology | 3900 Reservoir Rd Nw, Rm W500, Washington, DC 20007-2126 | 2011-12-01 |
| 1609193069 | Kant Michael Matsuda | Pathology | 2120 L St Nw, Washington, DC 20037 | 2010-04-26 |
| Find all providers in WASHINGTON | ||||
| City | WASHINGTON |
| Zip Code | 20010 |
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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.