DR. CHARLES CHRISTOPHER NICHOLAS (NPI# 1124083100) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124083100 |
| Entity Type | Individual |
| Full Name | DR. CHARLES CHRISTOPHER NICHOLAS |
| Credential | DPM |
| Practice Address |
3720 Holland Rd Ste 100 Virginia Beach VA 23452-2859 |
| Practice Telephone | 7574980202 |
| Practice Fax Number | 7574987936 |
| Mailing Telephone | 7574980202 |
| Mailing Fax Number | 7574987936 |
| Enumeration Date | 2006-04-20 |
| Last Update Date | 2018-03-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | 0103300941 | VA | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OPTIMA HEALTH | 10007473 | 01 | |
| VA | DMERC | 5180770002 | 01 |
| VA | RR MEDICARE | P00324323 | 01 |
| VA | 010210241 | 05 | |
| VA | MDIPA | 2138899 | 01 |
| VA | ANTHEM BLUE CROSS BLUE SH | 196666 | 01 |
| VA | DMERC | 5180770001 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023658929 | Charles Joseph Nicholas | Social Worker | 10075 Bergin Rd Unit C, Howell, MI 48843-7049 | 2020-01-09 |
| 1982765202 | Charles Andrew Nicholas IIi | Dentist | 40 25th St Nw, Cleveland, TN 37311-3829 | 2006-12-12 |
| Street Address |
3720 HOLLAND RD STE 100 |
| City | VIRGINIA BEACH |
| State | VA |
| Zip Code | 23452-2859 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649248071 | John P D'amelio | Podiatrist | 3720 Holland Rd, Ste 100, Virginia Beach, VA 23452-2859 | 2006-03-10 |
| 1649601444 | David Throckmorton Jr. | Dentist | 3720 Holland Rd, Ste. 102, Virginia Beach, VA 23452-2859 | 2013-12-03 |
| 1780953125 | Goho Dental Pllc | Dentist | 3720 Holland Rd, Ste 102, Virginia Beach, VA 23452-2859 | 2011-12-14 |
| 1992027676 | Coastal Virginia Oral and Maxillofacial Surgery, PC | Dentist | 3720 Holland Rd, Suite 100, Virginia Beach, VA 23452-2859 | 2010-02-22 |
| 1114089075 | Atlantic Obstetrics & Gynocology | Specialist | 3720 Holland Rd, Suite 101, Virginia Beach, VA 23452-2859 | 2006-12-15 |
| 1487662748 | Timothy Joseph Hardy | Obstetrics & Gynecology | 3720 Holland Rd, Suite 101, Virginia Beach, VA 23452-2859 | 2006-08-03 |
| 1386652675 | Melissa Waddell | Specialist | 3720 Holland Rd, Suite 101, Virginia Beach, VA 23452-2859 | 2006-08-03 |
| 1346287273 | Frank Joseph Beale | Dentist | 3720 Holland Rd, Suite 100, Virginia Beach, VA 23452-2859 | 2006-05-31 |
| 1245293737 | Michael Frank Maugeri Jr. | Dentist | 3720 Holland Rd, Suite 100, Virginia Beach, VA 23452-2859 | 2006-04-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881208650 | Tracie Marie Romero | Counselor | 236 Mustag Trail Ste, Virginia Beach, VA 23452 | 2020-08-31 |
| 1346884400 | Asra R Javeed Dmd PC | Dentist | 4312 Holland Rd Ste 108, Virginia Beach, VA 23452 | 2019-11-01 |
| 1598313298 | Reach Orthotic & Prosthetic Service, Inc. | Prosthetic/Orthotic Supplier | 397 Little Neck Rd, Building 3400, Suite 107, Virginia Beach, VA 23452 | 2019-08-27 |
| 1205483229 | Brenna Dober | Behavior Technician | 380 Clevend Place, Virginia Beach, VA 23452 | 2019-08-23 |
| 1639652977 | Jessica Keefe | Psychologist | 642 Carriage Hill Road, Virginia Beach, VA 23452 | 2018-09-12 |
| 1316433709 | Circle of Life, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3630 S Plaza Trl Ste 210a, Virginia Beach, VA 23452 | 2018-07-09 |
| 1992205165 | Jeremy Monsanto | Behavior Technician | 629 Phoenix Drive, Ste 150, Virginia Beach, VA 23452 | 2018-02-14 |
| 1174056014 | Samantha Brown | Behavior Technician | 780 Nnhaven Parkway, Suite 400, Virginia Beach, VA 23452 | 2017-04-07 |
| 1043757685 | Join1,llc | Home Health | 349 Southport Circle, Suite 106, Virginia Beach, VA 23452 | 2017-01-20 |
| 1720520620 | Renee Brush | Psychologist | 485 S Independence Blvd Ste 104, Virginia Beach, VA 23452 | 2016-11-08 |
| Find all providers in zip 23452 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245694488 | Kevin David Rabie | Podiatrist | 3720 Holland Rd Ste 100, Virginia Beach, VA 23452-2859 | 2016-04-13 |
| 1992964571 | Pav Pllc | Podiatrist | 936 General Booth Boulevard, Suite A, Virginia Beach, VA 23451-4857 | 2008-06-09 |
| 1912037698 | Podiatry Associates of Virginia PC | Podiatrist | 936a General Booth Blvd, Virginia Beach, VA 23451-4857 | 2007-03-06 |
| 1457447864 | Joseph Giro Smith | Podiatrist | 4620 Bunker Hill Lane, Virginia Beach, VA 23462 | 2006-10-04 |
| 1972569598 | Anthony J. Vuolo Jr. | Podiatrist | 1547 Amberley Forest Rd, Virginia Beach, VA 23453-4706 | 2006-04-22 |
| 1275526501 | Rudolph Clinton Anderson Jr. | Podiatrist | 5241 Princess Anne Rd, #102, Virginia Beach, VA 23462-6310 | 2005-08-23 |
| 1356340798 | Carrie T Cho | Podiatrist | 1232 Perimeter Parkway, Ste. 102, Virginia Beach, VA 23454-5924 | 2005-07-19 |
| 1184897415 | William Zachary Fenn | Podiatrist | 1788 Republic Rd, Suite 300, Virginia Beach, VA 23454-4552 | 2008-04-08 |
| 1285764761 | Jeffrey A Feld | Podiatrist | 936a General Booth Blvd, Podiatry Associates of Virginia, Virginia Beach, VA 23451-4857 | 2007-03-06 |
| 1326175043 | Hampton Roads Family Practice | Podiatrist | 665 Newtown Rd Ste 114, Virginia Beach, VA 23462-1683 | 2007-02-28 |
| Find all providers in VIRGINIA BEACH | ||||
| City | VIRGINIA BEACH |
| Zip Code | 23452 |
Please comment or provide details below to improve the information on DR. CHARLES CHRISTOPHER NICHOLAS.
| 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.