DR. DONALD GENE NICHOLAS JR. (NPI# 1245226950) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245226950 |
| Entity Type | Individual |
| Full Name | DR. DONALD GENE NICHOLAS JR. |
| Credential | M.D. |
| Practice Address |
2805 Prince George Ave Desoto TX 75115-2047 |
| Practice Telephone | 9722249090 |
| Practice Fax Number | 9722249098 |
| Mailing Telephone | 9722249090 |
| Mailing Fax Number | 9722249098 |
| Enumeration Date | 2005-09-27 |
| Last Update Date | 2017-02-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | H1995 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | PHYSICIAN PERMIT | H1995 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770807653 | Donald R Nicholas | Podiatrist | 2410 Greenview Dr, Uniontown, OH 44685-7885 | 2010-03-21 |
| 1932399524 | Donald Richard Nicholas | Psychologist | Ball State Univ, Department of Counseling Psychology, Tc622, Muncie, IN 47306-1099 | 2007-07-30 |
| 1194847277 | Donald Nicholas | Counselor | 650 Suffolk St, Lowell, MA 01854-3642 | 2007-04-06 |
| Street Address |
2805 PRINCE GEORGE AVE |
| City | DESOTO |
| State | TX |
| Zip Code | 75115-2047 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831412600 | Erika Ann Weeks | Physician Assistant | 2805 Prince George Ave, Desoto, TX 75115-2047 | 2010-03-09 |
| 1164419537 | Richard Scott Bryant | Family Medicine | 2805 Prince George Ave, Desoto, TX 75115-2047 | 2005-09-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548860257 | Emeka Abazie Dds Pa | Dentist | 1001 N. Beckley, Suite 304, Desoto, TX 75115 | 2020-10-30 |
| 1407453384 | Heather Mcdowell | Massage Therapist | 100 Bob White St # 3, Desoto, TX 75115 | 2020-10-05 |
| 1295201580 | Daniel Max & Marcandrea, LLC | Optometrist | 1309 E. Pleasant Run Rd, Desoto, TX 75115 | 2018-10-15 |
| 1316432180 | Texas Home Health Group of De Soto, LLC | Home Health | 911 York Drive, Suite 203, De Soto, TX 75115 | 2018-06-25 |
| 1033606694 | Dental Health Associates of Texas, PC | Dentist | 1001 N Beckley, Desoto, TX 75115 | 2018-04-19 |
| 1023516093 | Joseph Chinaecherem Anya | Pharmacist | 805 Raintree Ln, Desoto, TX 75115 | 2018-01-25 |
| 1396253837 | Medical Care Innovation, P.C. | Clinic/Center | 2019 N Interstate 35 E, Desoto, TX 75115 | 2018-01-18 |
| 1124534888 | Herlonda Dotson | Counselor | 620 Candelila Drive, Desoto, TX 75115 | 2017-12-18 |
| 1053839548 | Floristene Johnson | Nutritionist | 1353 Armstrong Drive, Desoto, TX 75115 | 2017-09-05 |
| 1699290577 | Dlb Pharmacy LLC | Pharmacy | 1801 N Hampton, Suite 340, Desoto, TX 75115 | 2017-08-11 |
| Find all providers in zip 75115 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093005993 | Henriette Mercedes Mathis | Internal Medicine | 1615 Osprey Dr Ste 107, Desoto, TX 75115-2427 | 2011-04-12 |
| 1295993434 | Prasanthi Jasty | Internal Medicine | 2727 Bolton Boone Dr Ste 109, Desoto, TX 75115-2019 | 2008-05-23 |
| 1578734786 | Anderson Medical Associates Pa | Internal Medicine | 1800 Windmill Hill Ln, Desoto, TX 75115-2768 | 2008-03-14 |
| 1013104876 | Diana A Zulueta | Internal Medicine | 1801 North Hampton Rd, # 205, Desoto, TX 75115 | 2007-09-26 |
| 1780623074 | Kusi Fordjour | Internal Medicine | 2505 Bolton Boone Dr, Ste 101, Desoto, TX 75115-2096 | 2006-06-05 |
| 1467409078 | Ikechukwu A. Osuji | Internal Medicine | 1110 E Pleasant Run Rd, Desoto, TX 75115-4202 | 2006-05-28 |
| 1710410634 | Suma Gudur Md Pa | Internal Medicine | 2700 Walker Way, Desoto, TX 75115-2088 | 2017-04-07 |
| 1194097139 | Poornima Chadalawada, Md,pa | Internal Medicine | 2727 Bolton Boone Dr, Suite 109, Desoto, TX 75115-2019 | 2012-02-07 |
| 1871890616 | Yashwanth Jasti | Internal Medicine | 2727 Bolton Boone Dr Ste 109, Desoto, TX 75115-2019 | 2011-02-14 |
| 1093020620 | Mahesh Kottapalli, M.d., P.a. | Internal Medicine | 2727 Bolton Boone Dr, Suite109, Desoto, TX 75115-2019 | 2010-08-06 |
| Find all providers in DESOTO | ||||
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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.