DR. SCOTT NICHOLS (NPI# 1013903483) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013903483 |
| Entity Type | Individual |
| Full Name | DR. SCOTT NICHOLS |
| Credential | MD |
| Practice Address |
1600 S Andrews Ave Broward General Pediatric Dept. Ft Lauderdale FL 33316-2510 |
| Mailing Address |
360 190th St Sunny Isles Beach FL 33160-2328 |
| Practice Telephone | 9543554400 |
| Enumeration Date | 2005-09-21 |
| Last Update Date | 2013-06-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | ME82822 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | MEDICARE CORE | E8575 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154702629 | Scott Nichols | Pharmacist | 769 W Beamish Rd, Sanford, MI 48657-9489 | 2015-06-10 |
| 1346599628 | Scott A. Nichols | Counselor | 14001 W Main St, Daleville, IN 47334-9361 | 2012-09-02 |
| 1053617217 | Scott Nichols | Veterinarian | 6122 Abineau Canyon Drive, Flagstaff, AZ 86004 | 2011-02-07 |
| 1538255674 | Scott F Nichols | Chiropractor | 2417 State Route 19 N, Warsaw, NY 14569-9336 | 2006-10-05 |
| 1275577280 | Scott Richard Nichols | Family Medicine | 3801 Camden Rd # 22, Pine Bluff, AR 71603-4612 | 2006-06-16 |
| 1982110706 | Scott Nichols | Physical Therapist | 1102 Sikes Ave, Sikeston, MO 63801-5021 | 2017-12-15 |
| 1760825723 | Scott Nello Nichols | Counselor | 6460 Harrison Ave, Cincinnati, OH 45247-7957 | 2013-04-09 |
| 1295989572 | Scott David Nichols | Psychiatry & Neurology | 1531 Esplanade, Chico, CA 95926-3310 | 2008-11-12 |
| 1013049527 | Scott V. Nichols | Pharmacist | 1174 W 600 N, Salt Lake City, UT 84116-2676 | 2007-03-10 |
| 1891761771 | Scott Nichols | Counselor | 8122 Madison Ave, Indianapolis, IN 46227-6076 | 2006-02-28 |
| Street Address |
1600 S ANDREWS AVE BROWARD GENERAL PEDIATRIC DEPT. |
| City | FT LAUDERDALE |
| State | FL |
| Zip Code | 33316-2510 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285637066 | Phoenix Obstetrics-gynecology LLC | Obstetrics & Gynecology | 1600 S Andrews Ave, Suite 323, West Wing, Ft Lauderdale, FL 33316-2510 | 2005-05-24 |
| 1285253542 | Carmen S Ceron Velasquez | Student in an Organized Health Care Education/Training Program | 1600 S Andrews Ave, Ft Lauderdale, FL 33316-2510 | 2020-04-15 |
| 1538788567 | Chris Angelo Haritos Jr. | Student in an Organized Health Care Education/Training Program | 1600 S Andrews Ave, Ft Lauderdale, FL 33316-2510 | 2020-04-09 |
| 1699260018 | Estefania Romina Niewialkouski | Pediatrics | 1600 S Andrews Ave, Ft Lauderdale, FL 33316-2510 | 2018-06-27 |
| 1992200919 | Charee Howard | Family Medicine | 1600 S Andrews Ave, Ft Lauderdale, FL 33316-2510 | 2018-03-30 |
| 1780190264 | Justin Limtong | Orthopaedic Surgery | 1600 S Andrews Ave, Ft Lauderdale, FL 33316-2510 | 2017-12-20 |
| 1114459625 | Amy Surti | Internal Medicine | 1600 S Andrews Ave, Ft Lauderdale, FL 33316-2510 | 2017-04-03 |
| 1417497280 | Elizabeth Fernandez | Pediatrics | 1600 S Andrews Ave, Ft Lauderdale, FL 33316-2510 | 2017-02-27 |
| 1407394562 | Broward General Medical Center | General Acute Care Hospital | 1600 S Andrews Ave, Ft Lauderdale, FL 33316-2510 | 2017-02-08 |
| 1346788155 | Charles Cevallos | Internal Medicine | 1600 S Andrews Ave, Ft Lauderdale, FL 33316-2510 | 2017-02-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366064040 | Jonathan David Ortiz | Behavior Technician | 1717 Se 4 Ave, Fort Lauderdale, FL 33316 | 2020-05-15 |
| 1306311626 | Gateway Recovery Center, LLC | Counselor | 1421 Sw 4th Avenue, Suite B, Fort Lauderdale, FL 33316 | 2018-10-13 |
| 1588141626 | Natan Bastoky | Family Medicine | 1600 S Andrews Ave # Gme, Fort Lauderdale, FL 33316 | 2018-07-22 |
| 1104320126 | Kathleen Kanani Graham | Pharmacist | 1401 S. Federal Highway, Ft. Lauderdale, FL 33316 | 2018-03-23 |
| 1093224271 | Lacosta Therapy, LLC | Behavioral Analyst | 412 Se 15 St., #4, Ft. Lauderdale, FL 33316 | 2017-09-20 |
| 1124560370 | Yulia Rybalka | Pharmacist | 217 Se 10th Street, Ft Lauderdale, FL 33316 | 2016-11-04 |
| 1730635376 | Brian Alexander Reyes | Specialist/Technologist | 303 Se 3rd Ave, Ft Lauderdale, FL 33316 | 2016-09-01 |
| 1649726282 | Jennifer Tabares | Specialist/Technologist | 303 Southeast 3rd Av, Fort Lauderdale, FL 33316 | 2016-09-01 |
| 1609236850 | Diane Nicole Shilling | Nurse Practitioner | 1001 South Andrews Avenue, Suite 100, Ft. Lauderdale, FL 33316 | 2016-03-01 |
| 1396113239 | Victoria Rosado | Adult Companion | 150 Se 12th Street, 401(b), Fort Lauderdale, FL 33316 | 2015-09-09 |
| Find all providers in zip 33316 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316349905 | Total Pediatric Care | Pediatrics | 100 E Commercial Blvd, Ft Lauderdale, FL 33334-1687 | 2014-09-25 |
| 1528023603 | Usman M Siddiqi | Pediatrics | 100 East Commercial Blvd, Ft Lauderdale, FL 33334 | 2006-04-20 |
| 1215924097 | Barbara Alexander | Pediatrics | 6181 N Federal Hwy, Ft Lauderdale, FL 33308-2227 | 2005-10-05 |
| 1063411965 | Palghat M Sahasranaman | Pediatrics | 1319 Se 2nd Ave, Ft Lauderdale, FL 33316-1809 | 2005-07-21 |
| 1699260018 | Estefania Romina Niewialkouski | Pediatrics | 1600 S Andrews Ave, Ft Lauderdale, FL 33316-2510 | 2018-06-27 |
| 1417497280 | Elizabeth Fernandez | Pediatrics | 1600 S Andrews Ave, Ft Lauderdale, FL 33316-2510 | 2017-02-27 |
| 1700272077 | Nisreen F Ali | Pediatrics | 6451 N Federal Hwy Ste 800, Ft Lauderdale, FL 33308-1409 | 2015-04-13 |
| 1144574104 | Yela Monica Martinez-rubio | Pediatrics | 1625 Se 3rd Ave Ste 200, Ft Lauderdale, FL 33316-2521 | 2012-10-30 |
| 1437323573 | Jacqueline C Machado | Pediatrics | 1600 S Andrews Ave, Picu 7th Floor, Ft Lauderdale, FL 33316-2510 | 2008-04-18 |
| 1669532768 | Sultana Alkon | Pediatrics | 2866 E Oakland Park Blvd Ste 2, Ft Lauderdale, FL 33306-1819 | 2006-12-11 |
| Find all providers in FT LAUDERDALE | ||||
| City | FT LAUDERDALE |
| Zip Code | 33316 |
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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.