SCOTT NICHOLSON (NPI# 1033562673) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033562673 |
| Entity Type | Individual |
| Full Name | SCOTT NICHOLSON |
| Credential | P.A. |
| Practice Address |
1 S Bryant Ave Edmond OK 73034-6309 |
| Mailing Address |
7477 E 46th Pl Tulsa OK 74145-6305 |
| Practice Telephone | 4053416100 |
| Mailing Telephone | 9183840002 |
| Mailing Fax Number | 9183840004 |
| Enumeration Date | 2016-07-19 |
| Last Update Date | 2020-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | 2676 | OK | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
2676 | OK | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255757399 | Scott Galen Nicholson | Pharmacist | 3215 Sw Macvicar Ave, Topeka, KS 66611-1836 | 2014-03-13 |
| 1154395259 | Scott Kevin Nicholson | Dentist | 715 Elm St Sw, Albany, OR 97321-1935 | 2006-02-15 |
| 1821537390 | Scott Crandall Nicholson | Specialist/Technologist | 1300 S Milton Rd, #206, Flagstaff, AZ 86001-7302 | 2017-02-16 |
| Street Address |
1 S BRYANT AVE |
| City | EDMOND |
| State | OK |
| Zip Code | 73034-6309 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588655070 | Monica Esparza | Nurse Practitioner | 1 S Bryant Ave, Edmond, OK 73034-6309 | 2005-11-02 |
| 1154962546 | Elizabeth Ann Powell | Registered Nurse | 1 S Bryant Ave, Edmond, OK 73034-6309 | 2019-10-07 |
| 1346716776 | Tiffany Ruth Lenhart | Physician Assistant | 1 S Bryant Ave, Edmond, OK 73034-6309 | 2018-10-24 |
| 1184121907 | Elizabeth Ann Jackson | Clinical Nurse Specialist | 1 S Bryant Ave, Edmond, OK 73034-6398 | 2018-04-09 |
| 1932610383 | Stephanie Nicole Beasley | Nurse Practitioner | 1 S Bryant Ave, Edmond, OK 73034-6309 | 2017-10-12 |
| 1609386010 | Leah Lynnette Emerson | Physical Medicine & Rehabilitation | 1 S Bryant Ave, Edmond, OK 73034-6309 | 2017-10-11 |
| 1801306642 | Tresa Dorman | Registered Nurse | 1 S Bryant Ave, Edmond, OK 73034-6309 | 2017-10-06 |
| 1619487923 | Tristar Healthcare Inc | Internal Medicine | 1 S Bryant Ave, Edmond, OK 73034-6309 | 2017-10-02 |
| 1609390111 | Ou Medicine Inc. | Psychiatric Unit | 1 S Bryant Ave, Edmond, OK 73034-6309 | 2017-07-27 |
| 1326426511 | Morgan Leigh Cooper | Dietitian, Registered | 1 S Bryant Ave, Edmond, OK 73034-6309 | 2015-05-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306447172 | Saints Medical Group, LLC | Family Medicine | 2749 Progressive Dr, Suite B, Edmond, OK 73034 | 2020-11-06 |
| 1194339861 | Susan Haesook Kim | Pharmacist | 1400 2nd St, Edmod, Edmond, OK 73034 | 2020-09-01 |
| 1821616038 | Aaron Michael Gowens | Specialist/Technologist | 015 Wantland Hall 100 University Dr., Edmond, OK 73034 | 2020-07-14 |
| 1043834849 | Paddington Place Lcc | Intermediate Care Facility, Mental Illness | 3225 French Park Drive, Suite 6, Edmond, OK 73034 | 2020-06-08 |
| 1083254932 | Purpose Healthcare Inc | Psychologist | 301 South Blvd, Suite 117, Edmond, OK 73034 | 2020-01-08 |
| 1740773662 | Healthcare Express, LLP | Family Medicine | 2300 E 2nd St, Edmond, OK 73034 | 2018-06-14 |
| 1427555713 | Sara Nicole Smith | Specialist/Technologist | 100 N University Drive, Attn: Athletic Training Room, Edmond, OK 73034 | 2018-04-12 |
| 1619475084 | Carissa Leigh Brackelsberg | Chiropractor | 3709 E 2nd St, Edmond, OK 73034 | 2018-01-31 |
| 1760996177 | Laurel Michelle Glendening | Physical Therapist | 3531 River Wood Lane, Edmond, OK 73034 | 2017-11-21 |
| 1134643380 | Keith S Quinn | Dentist | 3008 Peaceful Ln, Edmond, OK 73034 | 2017-07-31 |
| Find all providers in zip 73034 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568884047 | Bethany J Triana | Physician Assistant | 3863 South Boulevard, #200, Edmond, OK 73013-5540 | 2014-01-17 |
| 1326312661 | Stephani Lynn Jones | Physician Assistant | 305 S Bryant Ave, Suite 110, Edmond, OK 73034-5726 | 2012-03-05 |
| 1881886851 | Dana S Cortez | Physician Assistant | 925 W I 35 Frontage Rd Ste 100, Edmond, OK 73034-7399 | 2007-08-14 |
| 1649329996 | Crystal Hope Fredrickson | Physician Assistant | 3863 S Boulevard, Edmond, OK 73013-5540 | 2007-01-09 |
| 1952404238 | Jamie Shane Massengill | Physician Assistant | 7555 Winterwood Dr, Edmond, OK 73025-1861 | 2006-09-05 |
| 1508807520 | Tommy Dean Camp | Physician Assistant | 1101 Nw 178th St, Suite B, Edmond, OK 73012-4281 | 2006-06-09 |
| 1700248101 | Emily John | Physician Assistant | 1701 Renaissance Blvd, Edmond, OK 73013-3086 | 2016-03-24 |
| 1083072185 | Rosa J. Rios | Physician Assistant | 4801 Integris Pkwy, Edmond, OK 73034-8864 | 2016-02-03 |
| 1316319817 | Shelby Rae Stephens | Physician Assistant | 65 S Saints Blvd, Edmond, OK 73034-3051 | 2015-10-22 |
| 1801293105 | Kelly Walker | Physician Assistant | 2017 W I 35 Frontage Rd, Suite 250, Edmond, OK 73013-8504 | 2014-12-02 |
| Find all providers in EDMOND | ||||
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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.