NPI age
17 years
Enumerated 2009-03-26
● Active
Type 1 · Individual
Hirut Nicodimos
Nicodimos is 1 of 28 medical (physician assistant) providers in Round Rock and 1 of 2,224 in Texas.
Primary specialty
Medical (Physician Assistant)
Plus 2 subspecialties
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2013-03-08
Source: CMS NPPES provider record
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 2224 active medical (physician assistant) providers in Texas.
NPI age
17 years
↑ 2 yr above median (15 yr)
State licenses
1 state
11% of peers hold multiple states
Subspecialties
2
In the 20% of peers with subspecialties
NPI lifetime · 2009 → 2013
2009-03Enumerated in NPPES
2009
2013
Where they practice
Practice location
302 University Blvd
Round Rock, TX 786651032
Mailing address
302 University Blvd
Round Rock, TX 786651032
Specialties
-
Physician Assistant PrimaryCMS NPPES uses NUCC taxonomy code 363AM0700X for provider records classified as Medical within Physician Assistant. The taxonomy identifies the category reported on the NPI record; it does not by itself verify services offered, current...
-
Orthopaedic SurgeryRecognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary...
-
Physician AssistantCMS NPPES uses NUCC taxonomy code 363AS0400X for provider records classified as Surgical within Physician Assistant. The taxonomy identifies the category reported on the NPI record; it does not by itself verify services offered, current...
Practice context
Part of a multi-provider practice. 162 other active providers share this practice address in NPPES.
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