DR. JULIAN O NICHOLSON (NPI# 1275721060) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275721060 |
| Entity Type | Individual |
| Full Name | DR. JULIAN O NICHOLSON |
| Credential | MD |
| Practice Address |
730 N College Rd Suite B Twin Falls ID 83301-3382 |
| Mailing Address |
Po Box 587 Twin Falls ID 83303-0587 |
| Practice Telephone | 2088147350 |
| Practice Fax Number | 2087328508 |
| Mailing Telephone | 2088147400 |
| Mailing Fax Number | 2088147491 |
| Enumeration Date | 2007-10-05 |
| Last Update Date | 2015-01-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207YS0123X |
Otolaryngology Specialization: Facial Plastic Surgery |
M3181 | ID | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | MCRR | P00721165 | 01 |
| ID | 003855700 | 05 | |
| ID | UPIN | C36817 | 01 |
| Street Address |
730 N COLLEGE RD SUITE B |
| City | TWIN FALLS |
| State | ID |
| Zip Code | 83301-3382 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134163397 | Lora K Roberts | Nurse Practitioner | 730 N College Rd, Suite A, Twin Falls, ID 83301-3382 | 2006-06-16 |
| 1841588969 | Cortney R Mitchell | Audiologist | 730 N College Rd, Suite B, Twin Falls, ID 83301-3382 | 2011-07-11 |
| 1750542452 | Kylan D Peterson | Otolaryngology | 730 N College Rd, Suite B, Twin Falls, ID 83301-3382 | 2008-06-24 |
| 1316162704 | Russell Weldon Mayes | Otolaryngology | 730 N College Rd, Suite B, Twin Falls, ID 83301-3382 | 2007-04-13 |
| 1093830598 | Steven A. Kohtz | Family Medicine | 730 N College Rd, Suite A, Twin Falls, ID 83301-3382 | 2007-03-21 |
| 1326128612 | Aaron B Brown | Family Medicine | 730 N College Rd, Suite A, Twin Falls, ID 83301-3382 | 2006-10-17 |
| 1821024621 | Laurence L Martens | Family Medicine | 730 N College Rd, Suite A, Twin Falls, ID 83301-3382 | 2006-06-23 |
| 1205870417 | Mary Beth Curtis | Family Medicine | 730 N College Rd, Suite A, Twin Falls, ID 83301-3382 | 2006-06-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023645918 | Matthew Anderson | Pharmacist | Dick's Pharmacy, 526 K Shoup Ave W, Twin Falls, ID 83301 | 2020-03-23 |
| 1780146316 | Frontier Pediatric Partners, Pllc | Pediatrics | 1502 Locust Street N #700, Twin Falls, ID 83301 | 2019-04-02 |
| 1972073377 | Wood River Acupuncture | Acupuncturist | 1625 Addison Ave East, Twin Falls, ID 83301 | 2018-11-28 |
| 1235629874 | Lonnie Paul | Counselor | 1092 Eastland Dr N Ste A, Twin Falls, ID 83301 | 2018-05-17 |
| 1679060966 | Christina Jirapha Thongdee | Social Worker | 625 Poleline Road West, Suite 2a, Twin Falls, ID 83301 | 2018-04-23 |
| 1437658499 | Tyrel Kevin Ward | Chiropractor | 2167 Village Park Ave., Suite 100, Twin Falls, ID 83301 | 2018-02-06 |
| 1851836381 | Tanabell Health Services, Inc | Skilled Nursing Facility | 1134 Cheney Drive West, Twin Falls, ID 83301 | 2016-12-19 |
| 1578005195 | Matthew Carter | Physical Therapist | 1053 Eastland Drive, Twin Falls, ID 83301 | 2016-11-14 |
| 1790227783 | Murvat Usmanova | Nurse Practitioner | 775 Pole Line Road W, Suite 203, Twin Falls, ID 83301 | 2016-11-08 |
| 1265894687 | Shawna Fultz | Social Worker | 1201 Fall Ave East Suite C, Twin Falls, ID 83301 | 2016-03-24 |
| Find all providers in zip 83301 | ||||
| Taxonomy Code | 207YS0123X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| Specialization | Facial Plastic Surgery |
| An otolaryngologist who specializes in facial plastic surgery. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate was, but is no longer issued by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871016048 | Russell T Snow, D.o., P.a. | Otolaryngology | 119 W Logan St Ste A, Caldwell, ID 83605-4732 | 2017-07-19 |
| 1396763272 | Bret J Rodgers | Otolaryngology | 6077 N Eagle Rd, Boise, ID 83713-0997 | 2006-07-18 |
| 1871904698 | Matthew Mors | Otolaryngology | 6052 W State St, Boise, ID 83703-2739 | 2014-05-14 |
| 1649410218 | Boise Laser and Cosmetic Surgery Center PC | Otolaryngology | 6077 N Eagle Rd, Boise, ID 83713-0997 | 2009-02-23 |
| City | TWIN FALLS |
| Zip Code | 83301 |
Please comment or provide details below to improve the information on DR. JULIAN O NICHOLSON.
| 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.