DR. FREDERICK SCOTT NICHOLS (NPI# 1245354141) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1245354141 |
Entity Type | Individual |
Full Name | DR. FREDERICK SCOTT NICHOLS |
Credential | D.O. |
Practice Address |
27472 Schoenherr Rd Ste #150 Warren MI 48088-6688 |
Practice Telephone | 5863937777 |
Practice Fax Number | 5867771533 |
Mailing Telephone | 5863937777 |
Mailing Fax Number | 5867771533 |
Enumeration Date | 2007-03-17 |
Last Update Date | 2012-04-18 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208600000X | Surgery | 5101016827 | MI | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MI | 1245354141 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699985010 | Frederick William Nichols Jr. | Pharmacist | 101 W 8th Ave, Sacred Heart Medical Center Pharmacy Department, Spokane, WA 99204-2307 | 2007-05-23 |
Street Address |
27472 SCHOENHERR RD STE #150 |
City | WARREN |
State | MI |
Zip Code | 48088-6688 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225000201 | Ameripath Institute of Urological Pathology PC | Clinical Medical Laboratory | 27472 Schoenherr Rd, Suite 100, Warren, MI 48088-6688 | 2006-02-03 |
1205382223 | Crystal Langholff | Physical Therapist | 27472 Schoenherr Rd, Warren, MI 48088-6688 | 2016-08-30 |
1588037824 | Mia Houston | Physical Therapy Assistant | 27472 Schoenherr Rd, Suite 130, Warren, MI 48088-6688 | 2015-11-09 |
1346613627 | Ian Zaporski | Physical Therapy Assistant | 27472 Schoenherr Rd, Suite 130, Warren, MI 48088-6688 | 2015-11-09 |
1881087963 | Mendelson Orthopedics PC | Durable Medical Equipment & Medical Supplies | 27472 Schoenherr Rd, Suite 130, Warren, MI 48088-6688 | 2015-03-12 |
1376978809 | Caitlin Mary Rogers | Physician Assistant | 27472 Schoenherr Rd, Warren, MI 48088-6688 | 2013-09-03 |
1255672879 | Samantha J Burgess | Physical Therapist | 27472 Schoenherr Rd, Suite 130, Warren, MI 48088-6688 | 2013-03-06 |
1366786717 | William George Bellomo II | Physical Therapy Assistant | 27472 Schoenherr Rd, Suite 130, Warren, MI 48088-6688 | 2012-11-23 |
1811231715 | Advanced Breast Care Center | Surgery | 27472 Schoenherr Rd, Suite #108, Warren, MI 48088-6688 | 2012-11-15 |
1982968418 | Ashley L Boebinger | Occupational Therapist | 27472 Schoenherr Rd, Suite 130, Warren, MI 48088-6688 | 2012-06-29 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457980609 | Berkley Pharmacy LLC | Pharmacy | 28577 Schoenherr Road, Warren, MI 48088 | 2020-04-08 |
1023679099 | Jeff Lip | Counselor | 13253 Cromie Dr., Warren, MI 48088 | 2019-06-21 |
1306229877 | Medico Care LLC | Health Maintenance Organization | 31418 Schoenherr Rd #5, Warren, MI 48088 | 2015-07-02 |
1053728030 | Jane Kennedy Bays | Counselor | 30521 Schoenherr Rd Ste 200, Warren, MI 48088 | 2014-07-22 |
1114295490 | Ma Corazon E Marcaida-gorospe | Physical Therapist | 27472 Schoenherr Road, Warren, MI 48088 | 2011-12-01 |
1578869277 | Chiropractic Urgent Care, P.C. | Clinic/Center | 31500 Schoenherr Rd., Warren, MI 48088 | 2011-01-28 |
1396071361 | Colleen Janness | Physician Assistant | 13450 East 12 Mile Rd, Advanced Dermatology of Michigan, PC, Warren, MI 48088 | 2009-10-27 |
1225266075 | Pain Management Center | General Practice | 27472 Schoneherr, #130, Warren, MI 48088 | 2009-06-30 |
1447495809 | Denise Stys Marecki | Dietitian, Registered | 30061 Schoenherr Rd., Suite C, Warren, MI 48088 | 2008-12-12 |
1568640878 | James H. Aronovitz, Do Pllc | Otolaryngology | 27301 Schoenherr, 105, Warren, MI 48088 | 2008-02-08 |
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Taxonomy Code | 208600000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Surgery |
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801182274 | Justin Charles Brower | Surgery | 103 W Saint Clair St Rm 2e, Warren, PA 16365-2188 | 2011-06-23 |
1760799431 | Joseph Alvin Martin | Surgery | 627 Eastland Ave Se Ste 201, Warren, OH 44484-4501 | 2010-09-01 |
1184814303 | Martin Quiroga | Surgery | 27101 Schoenherr Rd Ste 200, Warren, MI 48088 | 2007-07-25 |
1578655049 | Keith N Marshall | Surgery | 3272 E. 12 Mile Road, Suite 102, Warren, MI 48092 | 2006-09-29 |
1124139639 | Mso Physicians | Surgery | 2449 E 12 Mile Rd, Warren, MI 48092-5647 | 2006-08-31 |
1760439459 | Narendra Devisinh Gohel | Surgery | 27472 Schoenherr Rd Ste 108, Warren, MI 48088-6687 | 2006-05-28 |
1770536591 | Philip S Vuocolo | Surgery | 103 W Saint Clair St Rm 2d, Warren, PA 16365 | 2006-05-19 |
1154389047 | Marc S Saunders D.o. | Surgery | 3915 E Market St, Warren, OH 44484-4710 | 2006-05-02 |
1811970338 | William R Henwood | Surgery | 1353 E Market St, Suite 302, Warren, OH 44483-6637 | 2005-11-29 |
1952382418 | Ronald Nazem Khoury | Surgery | 8790 E Market St, Ste 100, Warren, OH 44484-2360 | 2005-11-10 |
Find all providers in WARREN |
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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.