TODD R NICHOLSON (NPI# 1396749032) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396749032 |
| Entity Type | Individual |
| Full Name | TODD R NICHOLSON |
| Credential | P.A. |
| Practice Address |
3349 Us Hwy 1 Vass NC 28394 |
| Mailing Address |
Po Box 647 Vass NC 28394-0647 |
| Practice Telephone | 9102457678 |
| Practice Fax Number | 9102451444 |
| Mailing Telephone | 9102457678 |
| Mailing Fax Number | 9102451444 |
| Enumeration Date | 2005-06-10 |
| Last Update Date | 2010-12-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
103000 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 89014UP | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093052912 | Todd L. Nicholson | Psychologist | 3701 Se Milwaukie Ave, Suite C, Portland, OR 97202-3835 | 2013-01-11 |
| 1750429593 | Todd Nicholson | Physical Therapist | 315 W 5th St, Storm Lake, IA 50588-1743 | 2007-02-02 |
| Street Address |
3349 US HWY 1 |
| City | VASS |
| State | NC |
| Zip Code | 28394 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649429226 | Moore Family Care Pa | Clinic/Center | 3349 Us Hwy 1, Vass, NC 28394-0647 | 2008-09-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548312267 | Mark Alan Zubick | Dentist | 115 Southern Dunes Dr, Vass, NC 28394 | 2007-01-16 |
| 1235249533 | Jennifer A. Hanley | Nurse Practitioner | 309 Dogwood Lndg, Vass, NC 28394 | 2006-08-30 |
| 1962417592 | New Coopers Pharmacy LLC | Pharmacy | 3353 Us Hwy 1, Vass, NC 28394 | 2006-07-30 |
| 1255639845 | Nagakishore Babu Edupuganti | Pharmacist | 3353 Us Hwy 1, Vass, NC 28394 | 2011-03-04 |
| 1164583167 | Mckeithen Family Care Home | Custodial Care Facility | 287 Furr Rd, Vass, NC 28394-0163 | 2006-12-13 |
| 1598007445 | Fhpg, LLC | Family Medicine | 3349 Us 1 Hwy, Vass, NC 28394-0647 | 2013-03-19 |
| 1801008206 | Kimberly Chitwood Schorn | Dietitian, Registered | 570 Loblolly Dr, Vass, NC 28394-8217 | 2007-05-06 |
| 1225149503 | Louis Joseph Marchetti | Urology | 872 Castleberry Ct, Vass, NC 28394-8305 | 2006-08-31 |
| 1417072398 | Gwen S. Simmons | Counselor | 867 Castleberry Ct, Vass, NC 28394-8306 | 2007-03-20 |
| 1174951941 | Kelly Erkenbrack | Social Worker | 106 Mallard Cv, Vass, NC 28394-8372 | 2013-10-14 |
| Find all providers in zip 28394 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902403884 | Billy Scott II | Physician Assistant | 3000 Rogers Rd Ste 100, Wake Forest, NC 27587-5745 | 2020-10-05 |
| 1982213765 | Michaela Lynne Mcbride | Physician Assistant | 9541 Kings Parade Blvd Unit 107, Charlotte, NC 28273-5819 | 2020-07-28 |
| 1386260347 | Elizabeth Warrington Maiche | Physician Assistant | 113 Montgomery Dr, Saluda, NC 28773-7787 | 2020-06-24 |
| 1831715663 | John Wheary | Physician Assistant | 3233 Austin Ave, New Bern, NC 28562-7084 | 2020-06-17 |
| 1629692439 | Julie Anne Augustine | Physician Assistant | 718 S Green St, Winston Salem, NC 27101-5112 | 2020-06-08 |
| 1659995710 | Kristopher Neal Priddy | Physician Assistant | 405 Forest Hill Dr, Shelby, NC 28150-5520 | 2020-06-04 |
| 1710500558 | Christian Wright Fulenwider | Physician Assistant | 104 Linden St, Morganton, NC 28655-3788 | 2020-05-27 |
| 1366065500 | Lisa Lynn Carder | Physician Assistant | 904 Foxcroft Cir Apt D, Shelby, NC 28152-6868 | 2020-05-22 |
| 1982234282 | Brandon Sorkin | Physician Assistant | 280 Executive Park Drive, Suite 100, Concord, NC 28025-2802 | 2020-01-25 |
| 1245860618 | Robert Maughan | Physician Assistant | 129 Bryce Creek Ln, Fayetteville, NC 28303-4981 | 2020-01-24 |
| Find all providers with the same taxonomy | ||||
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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.