Jason Nirgiotis
Pediatrician Pediatric Surgery
1400 S Coulter St
Amarillo
, Texas 79106-1786
Jason Nirgiotis
Pediatrician Pediatric Surgery
1400 S Coulter St
Amarillo
, Texas 79106-1786
(806) 354-5689
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About
Features
Specialties
- Pediatrician
- Pediatric Surgery
Languages spoken
- English
Location
First Address
- Jason Nirgiotis
- 1400 Wallace Blvd
- Amarillo, TX
- Zip : 79106-1708
- Fax : (806) 354-5689
- Phone : (806) 414-9800
Second Address
- Jason Nirgiotis
- 1400 S Coulter St
- Amarillo, TX
- Zip : 79106-1786
- Fax : (806) 354-5689
- Phone : (806) 414-9800
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 208000000X | Pediatrician | H3828 | TX |
| Y | 2086S0120X | Pediatric Surgery | H3828 | TX |
National Provider Identifier
| NPI | 1124032115 |
|---|---|
| Provider Name | Jason Nirgiotis |
| First Address | Amarillo, TX 79106-1708 |
| Second Address | Amarillo, TX 79106-1786 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 28/07/2006 |
| Last Update Date | 13/05/2016 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 100050670 A | (05) | OK |
| 131497307 | (05) | TX |
| 131497308 | (05) | TX |
| E17855 | (02) | |
| J8692 | (05) | NM |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.