STEPHEN WAYNE NICHOLS (NPI# 1346217510) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346217510 |
| Entity Type | Individual |
| Full Name | STEPHEN WAYNE NICHOLS |
| Credential | MD |
| Practice Address |
1100 Butte St Redding CA 96001-0852 |
| Mailing Address |
3116 W. March Ln Ste 200 Stockton CA 95219-2370 |
| Practice Telephone | 5302410410 |
| Mailing Telephone | 2094736555 |
| Mailing Fax Number | 2094736544 |
| Enumeration Date | 2006-03-07 |
| Last Update Date | 2014-03-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207L00000X | Anesthesiology | A053775 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | GR0055650 | 05 | |
| CA | LICENSE # | A053775 | 01 |
| CA | DEA | BN4157473 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689705253 | Stephen Grant Nichols | Physical Therapist | 140 Eureka Street, Taylorsville, MS 39168 | 2007-03-08 |
| 1033275094 | Stephen Wayne Nichols | Chiropractor | 166 Athens St, Hartwell, GA 30643-1851 | 2006-12-27 |
| 1427145218 | Stephen P. Nichols | Orthopaedic Surgery | 351 Santa Fe Dr., Suite 100, Encinitas, CA 92024 | 2006-10-05 |
| 1962481093 | Stephen Prioleau Nichols | Psychologist | 204 N East Ave, Fayetteville, AR 72701-5225 | 2006-01-17 |
| 1184042897 | Stephen Nichols | Emergency Medicine | 2333 Mccallie Ave, Chattanooga, TN 37404-3258 | 2014-03-31 |
| 1841612470 | Stephen Nichols | Pharmacist | 1840 Amherst St, Winchester, VA 22601-2808 | 2014-01-16 |
| 1235419037 | Stephen Daniel Nichols | Counselor | 300 W 19th Ter, Kansas City, MO 64108-2026 | 2011-08-24 |
| 1184780009 | Stephen A. Nichols | Pediatrics | 1708 W Rogers Ave, Baltimore, MD 21209-4545 | 2006-12-28 |
| 1275540437 | Stephen Nichols | Internal Medicine | 701 E El Camino Real, Mountain View, CA 94040-2833 | 2006-08-01 |
| 1912955899 | Stephen R. Nichols | Emergency Medicine | 1501 Burnet Rd, Brownwood, TX 76801-8520 | 2006-05-04 |
| Street Address |
1100 BUTTE ST |
| City | REDDING |
| State | CA |
| Zip Code | 96001-0852 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073580577 | Pavan K Davuluri | Anesthesiology | 1100 Butte St, Redding, CA 96001 | 2006-03-02 |
| 1487255816 | Jessica Ann Kandybe | Registered Nurse | 1100 Butte St, Redding, CA 96001-0852 | 2020-11-03 |
| 1306474135 | Tai Chinnock Moses | Physician Assistant | 1100 Butte St, Redding, CA 96001-0852 | 2020-03-28 |
| 1073150025 | Carl Evan Bennett | Nurse Practitioner | 1100 Butte St, Redding, CA 96001-0852 | 2019-12-09 |
| 1427604636 | Maria C Morales | Nurse Practitioner | 1100 Butte St, Redding, CA 96001-0852 | 2019-08-13 |
| 1962982165 | Eric Lee Svendsen | Physician Assistant | 1100 Butte St, Redding, CA 96001 | 2018-08-16 |
| 1174017214 | Far Northern Anesthesia Consultants | Anesthesiology | 1100 Butte St, Redding, CA 96001 | 2018-06-21 |
| 1629583018 | Clear Creek Medical Corp | Family Medicine | 1100 Butte St, Redding, CA 96001-0852 | 2017-12-06 |
| 1457879009 | Noah Chutz | Physician Assistant | 1100 Butte St, Redding, CA 96001 | 2017-09-05 |
| 1679007140 | Shasta Regional Emergency Medical Associates, Inc | Emergency Medicine | 1100 Butte St, Redding, CA 96001-0852 | 2017-04-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730651266 | Vanessa Louise Banda | Social Worker | 1544 Magnolia Avenue, Redding, CA 96001 | 2018-12-21 |
| 1184194672 | Marie Sherrick | Licensed Vocational Nurse | 2030 Elreno Lane, Redding, CA 96001 | 2018-11-28 |
| 1699257857 | Prorehab Physical Therapy and Sports Performance, Inc | Physical Therapist | 3673 Eureka Way, Redding, CA 96001 | 2018-09-05 |
| 1316456833 | Jennifer Rose Goehring | Counselor | 1310 Continental Street, Redding, CA 96001 | 2017-09-27 |
| 1891224440 | Audrey Cutler | Social Worker | 1313 Yuba St., Redding, CA 96001 | 2017-06-07 |
| 1184167991 | Calafia Holdings LLC | Skilled Nursing Facility | 1836 Gold Street, Redding, CA 96001 | 2016-11-28 |
| 1194272369 | Shasta County | Clinic/Center | 2950 Polk Street, Rooms 2, 3, 4, Redding, CA 96001 | 2016-09-06 |
| 1417329236 | Shari Hayden | Specialist/Technologist, Other | 2111 Air Park Dr, Redding, CA 96001 | 2015-10-21 |
| 1679951982 | Shasta Hearing Aids | Health Maintenance Organization | 900 Butte St, Redding, CA 96001 | 2015-05-07 |
| 1073919171 | Native American Mental Health Services Corporation | Psychiatry & Neurology | 1742 Oregon Street, Redding, CA 96001 | 2014-11-17 |
| Find all providers in zip 96001 | ||||
| Taxonomy Code | 207L00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. |
| 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 Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437417474 | Andrew Mcfadden | Anesthesiology | 2175 Rosaline Ave Ste A, Redding, CA 96001-2549 | 2012-04-27 |
| 1427255421 | Julie Mcclelland | Anesthesiology | 2175 Rosaline Avenue, Mercy Medical Center, Redding, CA 96001-2549 | 2007-07-02 |
| 1043381395 | Thomas C Thomas | Anesthesiology | 8925 Elusion Ct, Redding, CA 96001-9580 | 2006-11-10 |
| 1316970031 | Theodore E Workman Jr. | Anesthesiology | 2111 Airpark Dr, Redding, CA 96001-2433 | 2006-07-08 |
| 1962479261 | Redding Anesthesia Associates Medical Group | Anesthesiology | 1335 Buenaventura Blvd Ste 100, Redding, CA 96001 | 2006-03-06 |
| 1073580577 | Pavan K Davuluri | Anesthesiology | 1100 Butte St, Redding, CA 96001 | 2006-03-02 |
| 1598730640 | Rameshkumar Raju Kakarlapudi | Anesthesiology | 1548 East St, Suite B, Redding, CA 96001-1109 | 2006-02-22 |
| 1629041595 | John W Dyson | Anesthesiology | 8770 Heritage Ct, Redding, CA 96001-9752 | 2006-02-09 |
| 1861476822 | John Andrew Copeland | Anesthesiology | 46 72 Kilkee, Redding, CA 96001 | 2005-12-02 |
| 1790781615 | Robert Koorn | Anesthesiology | 10 Old Redding Rd, Redding, CT 06896-2201 | 2005-06-24 |
| Find all providers in REDDING | ||||
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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.