DR. COLTON MCNICHOLS (NPI# 1396162624) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396162624 |
| Entity Type | Individual |
| Full Name | DR. COLTON MCNICHOLS |
| Credential | MD |
| Practice Address |
601 N Caroline St Jhoc 8152a Baltimore MD 21287-0006 |
| Practice Telephone | 4105027381 |
| Enumeration Date | 2014-03-25 |
| Last Update Date | 2016-01-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208200000X | Plastic Surgery | D80857 | MD | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MEDICARE PECOS | I20140708002042 | 01 |
| Street Address |
601 N CAROLINE ST JHOC 8152A |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21287-0006 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265431324 | Harvey Ziessman | Radiology | 601 N Caroline St, Baltimore, MD 21287-0006 | 2005-07-20 |
| 1699372524 | Anna Lauren Rosenbloom | Physician Assistant | 601 N Caroline St, Baltimore, MD 21287-0006 | 2020-10-04 |
| 1649891292 | Ashley Gutierrez | Audiologist | 601 N Caroline St, Baltimore, MD 21287-0006 | 2020-05-05 |
| 1215566195 | Michael Zhao Cheng | Student in an Organized Health Care Education/Training Program | 601 N Caroline St, Baltimore, MD 21287-0006 | 2020-04-03 |
| 1427686898 | Majd Marrache | Student in an Organized Health Care Education/Training Program | 601 N Caroline St, Baltimore, MD 21287-0006 | 2020-03-31 |
| 1407484975 | Andrew Benford Harris | Student in an Organized Health Care Education/Training Program | 601 N Caroline St, Baltimore, MD 21287-0006 | 2020-03-31 |
| 1750919205 | Marc Greenberg | Student in an Organized Health Care Education/Training Program | 601 N Caroline St, Baltimore, MD 21287-0006 | 2020-03-31 |
| 1861020257 | Wesley Michael Durand | Student in an Organized Health Care Education/Training Program | 601 N Caroline St, Baltimore, MD 21287-0006 | 2020-03-31 |
| 1053944751 | Clarice Ann Myers | Audiologist | 601 N Caroline St, Baltimore, MD 21287-0006 | 2020-02-20 |
| 1720624869 | Nicole Gauthier | Nurse Practitioner | 601 N Caroline St, Baltimore, MD 21287-0006 | 2019-11-25 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174140503 | Thomas Dimitrios Zaikos | Student in an Organized Health Care Education/Training Program | Pathology Building Rm. 401, 600 N. Wolfe Street, Baltimore, MD 21287 | 2020-07-01 |
| 1316572175 | Sarah Branigan | Pediatrics | Johns Hopkins Children's Center, 1800 Orleans Street, Baltimore, MD 21287 | 2020-03-11 |
| 1790318657 | Margaret Geraldine Keane | Internal Medicine | Sheikh Zayed Tower, 1800 Orleans St, Baltimore, MD 21287 | 2020-02-19 |
| 1699322636 | Lakeya Mcgill | Student in an Organized Health Care Education/Training Program | 600 North Wolfe St, Phipps 174, Baltimore, MD 21287 | 2019-08-23 |
| 1245882406 | Ranim Amer Ibrahim Alsaad | Student in an Organized Health Care Education/Training Program | 1800 Orleans Street - Johns Hopkins Hospital, Tower 110, Baltimore, MD 21287 | 2019-07-09 |
| 1992364004 | Anthony David Pisaniello | Student in an Organized Health Care Education/Training Program | 1800 Orleans St, Johns Hopkins Hospital, Baltimore, MD 21287 | 2019-06-12 |
| 1255990503 | Ethan Tumarkin | Student in an Organized Health Care Education/Training Program | 600 N. Wolfe St./halsted 500, Baltimore, MD 21287 | 2019-06-11 |
| 1629636386 | Kathleen Anne Malloy | Counselor | Jhh 600 N. Wolfe St., Cpp- Meyer 144, Baltimore, MD 21287 | 2019-05-29 |
| 1285298489 | Ashleigh Graham | Student in an Organized Health Care Education/Training Program | Pathology Building, Rm 401, 600 N. Wolfe Street, Baltimore, MD 21287 | 2019-04-24 |
| 1851955066 | Seena Tabibi | Student in an Organized Health Care Education/Training Program | Pathology Department Johns Hopkins University Som, Pathology Building Rm 401, 600 North Wolfe Street, Baltimore, MD 21287 | 2019-04-24 |
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| Taxonomy Code | 208200000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Plastic Surgery |
| A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922356567 | Fan Liang | Plastic Surgery | 110 S Paca St Ste 3n150, Baltimore, MD 21201-1642 | 2012-08-28 |
| 1346530136 | Sashank Reddy | Plastic Surgery | 601 N Wolfe St Rm 8161, Baltimore, MD 21287-0004 | 2011-04-13 |
| 1306004452 | Emily M Clarke-pearson | Plastic Surgery | 915 S Wolfe St Apt 243, Baltimore, MD 21231-3639 | 2008-05-27 |
| 1952583932 | Chad R. Gordon | Plastic Surgery | Department of Plastic Surgery Johns Hopkins, Jhoc #8152f, 601 N. Caroline Street, Baltimore, MD 21287-0001 | 2007-11-30 |
| 1114138625 | Oluseyi Aliu | Plastic Surgery | 601 N Caroline St # 2114d, Baltimore, MD 21287-0006 | 2007-05-25 |
| 1770618548 | David Samuel Rosenberg | Plastic Surgery | 2213 Winterling Ct, Baltimore, MD 21231-3133 | 2007-02-22 |
| 1750428611 | Michele Ann Manahan | Plastic Surgery | 601 North Caroline St., Jhoc 8th Floor, Baltimore, MD 21287 | 2007-01-31 |
| 1891847745 | Ryan D. Katz | Plastic Surgery | Johns Hopkins Plastic Surgery 601 N Caroline St, Jhoc 8150, Baltimore, MD 21287-0001 | 2007-01-18 |
| 1972585206 | David Zachary Martin | Plastic Surgery | 5601 Loch Raven Blvd Bldg Suite101, Baltimore, MD 21239-2945 | 2005-11-14 |
| 1134128903 | Kerry Elizabeth Owens | Plastic Surgery | 300 Frederick Rd, Suite 200, Baltimore, MD 21228-4665 | 2005-07-14 |
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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.