DR. ERIC R NICELY (NPI# 1043210164) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043210164 |
| Entity Type | Individual |
| Full Name | DR. ERIC R NICELY |
| Credential | M.D. |
| Practice Address |
7557 Dannaher Ln Suite 230 Powell TN 37849-3558 |
| Mailing Address |
9724 Kingston Pike Suite 800 Knoxville TN 37922-3347 |
| Practice Telephone | 8656379431 |
| Practice Fax Number | 8656378887 |
| Mailing Telephone | 8656900602 |
| Mailing Fax Number | 8656900515 |
| Enumeration Date | 2005-07-29 |
| Last Update Date | 2007-12-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | MD0000019805 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 3084254 | 05 | |
| TN | BLUE CROSS | 3106070 | 01 |
| TN | GROUP NPI | 1669416442 | 01 |
| TN | BLUE CROSS | 3106086 | 01 |
| TN | RAILROAD MEDICARE | CI2260 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114049657 | Eric Shawn Nicely | Psychologist | 220 Montgomery St, Ste 1019, San Francisco, CA 94104-3402 | 2007-04-04 |
| 1790754331 | Eric Richard Nicely | Psychologist | 970 W Wooster St, Ste. 124, Bowling Green, OH 43402-2643 | 2006-03-16 |
| Street Address |
7557 DANNAHER LN SUITE 230 |
| City | POWELL |
| State | TN |
| Zip Code | 37849-3558 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710987839 | Donald R Heiser | Urology | 7557 Dannaher Ln, Suite 230, Powell, TN 37849-3558 | 2005-07-29 |
| 1518043751 | Orthotennessee, PC | Clinic/Center | 7557 Dannaher Ln, Suite G30, Powell, TN 37849-3558 | 2006-10-31 |
| 1124109020 | Tammy Y Newman | Physician Assistant | 7557 Dannaher Ln, Suite 230, Powell, TN 37849-3558 | 2006-10-18 |
| 1588753495 | Orthotennessee, PC | Durable Medical Equipment & Medical Supplies | 7557 Dannaher Ln, Suite G10, Powell, TN 37849-3558 | 2006-10-11 |
| 1942391867 | Orthotennessee, PC | Orthopaedic Surgery | 7557 Dannaher Ln, Suite G10, Powell, TN 37849-3558 | 2006-09-27 |
| 1386607083 | Anita Tisdale | Occupational Therapist | 7557 Dannaher Ln, Suite G30, Powell, TN 37849-3558 | 2006-04-11 |
| 1598728602 | Leslie Gail Redmond | Physical Therapist | 7557 Dannaher Ln, Suite G30, Powell, TN 37849-3558 | 2006-04-10 |
| 1386606978 | Marketta Lynnette Styles | Physical Therapist | 7557 Dannaher Ln, Suiteg30, Powell, TN 37849 | 2006-04-06 |
| 1396745352 | Charles W Reynolds | Urology | 7557 Dannaher Ln, Suite 230, Powell, TN 37849-3558 | 2005-07-29 |
| 1205836343 | Christopher E Ramsey | Urology | 7557 Dannaher Ln, Suite 230, Powell, TN 37849-3558 | 2005-07-29 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104380930 | Fannon Drug Co. | Pharmacy | 606 E. Emory Rd, Powell, TN 37849 | 2019-01-25 |
| 1417472507 | New Haven, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 8001 Conner Road Ste102, Powell, TN 37849 | 2017-08-09 |
| 1790207785 | Sarah Beuerlein Guerrette | Registered Nurse | 7730 Dannaher Drive, Powell, TN 37849 | 2017-07-11 |
| 1255860383 | Eye Surgery Center of Knoxville, LLC | Clinic/Center | 7739 Dannaher Drive, Powell, TN 37849 | 2017-06-12 |
| 1306375720 | Elizabeth Kathy Haun | Nurse Practitioner | 325 Strader Rd, Powell, TN 37849 | 2017-06-08 |
| 1063642593 | Emily H Griffith | Pharmacist | 430 Emory Road, Powell, TN 37849 | 2009-07-17 |
| 1497909428 | Carolyn E Pendergast | Occupational Therapist | 7557 Dannaher Lane, Suite G30, Powell, TN 37849 | 2008-11-04 |
| 1982883468 | Marcella June Greene | Surgery | 7557a Dannaher Dr, Suite 110, Powell, TN 37849 | 2007-10-31 |
| 1629260542 | Frances L Do | Physician Assistant | 7557 Dannaher Dr., Tennessee Urology Associates, Powell, TN 37849 | 2007-08-14 |
| 1780715870 | Diane Elizabeth Crabb | Registered Nurse | 7714 Conner Road, Ste 105, Powell, TN 37849 | 2007-03-08 |
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| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710987839 | Donald R Heiser | Urology | 7557 Dannaher Ln, Suite 230, Powell, TN 37849-3558 | 2005-07-29 |
| 1871593814 | Brian D Parker | Urology | 7557 Dannaher Way, Suite 230, Powell, TN 37849-3558 | 2005-07-29 |
| 1699775718 | Lee Congleton IIi | Urology | 7557 Dannaher Dr Ste 230, Powell, TN 37849-3563 | 2005-07-29 |
| 1932318284 | Tennessee Urology Associates, Pllc | Urology | 7557 Dannaher Way, Suite 230, Powell, TN 37849-3558 | 2007-05-22 |
| 1730155094 | Sean Martin Delair | Urology | 7557 Dannaher Dr Ste 230, Powell, TN 37849 | 2006-02-27 |
| 1396745352 | Charles W Reynolds | Urology | 7557 Dannaher Ln, Suite 230, Powell, TN 37849-3558 | 2005-07-29 |
| 1205836343 | Christopher E Ramsey | Urology | 7557 Dannaher Ln, Suite 230, Powell, TN 37849-3558 | 2005-07-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396363875 | Connor Forbes | Urology | Vumc Dept Urology, 1161 21st Ave. South, A-1302 Medical Center North, Nashville, TN 37232-2765 | 2020-07-10 |
| 1427528546 | Mark Johnson | Urology | 278 Franklin Rd Ste 150, Brentwood, TN 37027-3265 | 2018-12-01 |
| 1750808580 | Clyde Alexander Kyle | Urology | 448 Kyle Ln Nw, Cleveland, TN 37312-6435 | 2017-08-23 |
| 1316464142 | Urology Associates PC | Urology | 4601 Carothers Pkwy Ste 475, Franklin, TN 37067-5980 | 2017-08-23 |
| 1649796376 | Urology Associates PC | Urology | 502 Northcrest Dr, Springfield, TN 37172-4066 | 2017-08-15 |
| 1932625662 | Urology Associates PC | Urology | 393 Wallace Rd Ste A400, Nashville, TN 37211-4983 | 2017-08-15 |
| 1619493343 | Urology Associates PC | Urology | 5651 Frist Blvd Ste 616, Hermitage, TN 37076-2060 | 2017-08-15 |
| 1881110500 | Urology Associates PC | Urology | 107 Glen Oak Blvd Ste 100, Hendersonville, TN 37075-3161 | 2017-08-15 |
| 1124544853 | Urology Associates PC | Urology | 3443 Dickerson Pike Ste 160, Nashville, TN 37207-2533 | 2017-08-15 |
| 1801310727 | Urology Associates PC | Urology | 1909 Mallory Ln Ste 110, Franklin, TN 37067-8230 | 2017-08-01 |
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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.