DR. RICHARD A. NICKLAS (NPI# 1467412510) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467412510 |
| Entity Type | Individual |
| Full Name | DR. RICHARD A. NICKLAS |
| Credential | M.D. |
| Practice Address |
1830 Town Center Dr Suite #206 Reston VA 20190-3236 |
| Mailing Address |
8318 Arlington Blvd Suite #308 Fairfax VA 22031-5218 |
| Practice Telephone | 7034375151 |
| Practice Fax Number | 7032804650 |
| Mailing Telephone | 7035734440 |
| Mailing Fax Number | 7032804650 |
| Enumeration Date | 2006-03-24 |
| Last Update Date | 2012-01-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207KA0200X |
Allergy & Immunology Specialization: Allergy |
MD3203 | DC | Allopathic & Osteopathic Physicians |
| Y | 207KA0200X |
Allergy & Immunology Specialization: Allergy |
0101025325 | VA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861554248 | Richard Scot Nicklas | Dentist | 497 South Wall St, Kankakee, IL 60901 | 2006-12-14 |
| 1285799726 | Richard Nicklas | Physician Assistant | 111 Grossman Dr, Braintree, MA 02184-4997 | 2006-12-26 |
| Street Address |
1830 TOWN CENTER DR SUITE #206 |
| City | RESTON |
| State | VA |
| Zip Code | 20190-3236 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427032564 | Richard L Stokes IIi | Specialist | 1830 Town Center Dr, Suite 207, Reston, VA 20190-3292 | 2005-12-02 |
| 1811351166 | Loudoun Medical Group PC | Urology | 1830 Town Center Dr, Suite 306, Reston, VA 20190-3292 | 2016-04-12 |
| 1306211370 | Urology Center-usa Inc | Specialist | 1830 Town Center Dr, Suite 301, Reston, VA 20190-3292 | 2015-12-02 |
| 1164787065 | Aishah Carol Hassan | Voluntary or Charitable | 1830 Town Center Dr, Reston, VA 20190-3292 | 2012-07-07 |
| 1063739324 | Healthy Heart Sleep Center, LLC | Clinical Medical Laboratory | 1830 Town Center Dr, Suite 405, Reston, VA 20190-3292 | 2010-04-27 |
| 1578729216 | Tae Joon Chung, Md PC | Internal Medicine | 1830 Town Center Dr, Suite 308, Reston, VA 20190-3292 | 2008-08-01 |
| 1316110125 | Richard Lee Cho | Psychiatry & Neurology | 1830 Town Center Dr, Suite 305, Reston, VA 20190-3292 | 2008-04-12 |
| 1730364969 | Rabih Kanan Hamzeh | Specialist | 1830 Town Center Dr, Suite #303, Reston, VA 20190-3292 | 2008-01-07 |
| 1710160205 | M Karim Ali Md Facs PC | Otolaryngology | 1830 Town Center Dr, Suite 209, Reston, VA 20190-3236 | 2007-12-07 |
| 1689855587 | David K Chow, Md, PC | Ophthalmology | 1830 Town Center Dr, Suite 210, Reston, VA 20190-3292 | 2007-11-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912548470 | Virginia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1906 Reston Metro Plaza, Suite 100, Reston, VA 20190 | 2019-10-04 |
| 1205483260 | Northern Virginia Applied Behavior Analysis, L.L.C. | Behavioral Analyst | 1984 Issac Newton Square West, Suite 204, Reston, VA 20190 | 2019-08-23 |
| 1336796481 | Sandra Chiunda | Nurse Practitioner | 11484 Washington Plaza W 3rd Floor, Reston, VA 20190 | 2019-08-23 |
| 1891357232 | Beyond Counseling, Inc. | Clinic/Center | 11250 Roger Bacon Dr., Atrium 5, Reston, VA 20190 | 2019-07-06 |
| 1003470063 | Sarah Katharina Jungnitsch | Registered Nurse | Reston Anesthesia Associates, 11341 Sunset Hills Road, Reston, VA 20190 | 2019-04-25 |
| 1194202341 | May Health Care Services Inc | Home Health | 12110 Sunset Hills Road Suite 600, Reston, VA 20190 | 2018-07-20 |
| 1245739895 | Carlee B. Genung | Physician Assistant | 1760 Reston Parkway Suite 306, Reston, VA 20190 | 2018-02-09 |
| 1760901045 | Kristen Kelly | Dietitian, Registered | 11703 Bowman Green Drive, Lower Level, Reston, VA 20190 | 2017-09-18 |
| 1245778992 | Sarah Christine Bernstein | Occupational Therapist | 1860 Town Center Drive Ste, Suite 300, Reston, VA 20190 | 2017-02-02 |
| 1023495298 | Phillip Nguyen | Dentist | 1800 Town Center Dr Ste 116, Reston, VA 20190 | 2015-04-27 |
| Find all providers in zip 20190 | ||||
| Taxonomy Code | 207KA0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Allergy & Immunology |
| Specialization | Allergy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922610682 | Kaufman Allergy Asthma and Immunology, Pllc | Allergy & Immunology | 8320 Old Courthouse Rd Ste 310, Vienna, VA 22182-3831 | 2020-08-23 |
| 1962862672 | Fame Allergy, PC | Allergy & Immunology | 1002 Apperson Dr, Salem, VA 24153-7133 | 2016-02-24 |
| 1346423381 | Vickie Kyuran Lee | Allergy & Immunology | 44320 Premier Plz, Suite #110, Ashburn, VA 20147-5076 | 2007-12-13 |
| 1871619452 | Allergy, Asthma and Sinus Center of Central Virginia | Allergy & Immunology | 3701 Boulevard Ste H, Colonial Heights, VA 23834-1339 | 2007-03-22 |
| 1053436451 | Hassan Mohagheghi | Allergy & Immunology | 3701 Boulevard, Suite H, Colonial Heights, VA 23834-1339 | 2007-03-21 |
| 1548340748 | Laura Ispas | Allergy & Immunology | 19455 Deerfield Ave Ste 207, Leesburg, VA 20176-8102 | 2006-10-16 |
| 1811092414 | Manuel Guillen | Allergy & Immunology | 101 34 D Colvin Run Road, Great Falls, VA 22066 | 2006-09-14 |
| 1871515296 | Albert L. Huber | Allergy & Immunology | 910 E High St, Charlottesville, VA 22902-4850 | 2006-07-24 |
| 1659302560 | Murali Dharan Sharath | Allergy & Immunology | 4534 Bonney Rd, Suite B, Virginia Beach, VA 23462-3873 | 2006-07-06 |
| 1932130531 | Kimberly C George | Allergy & Immunology | 201 Concourse Blvd, Ste 100, Glen Allen, VA 23059-5640 | 2006-07-05 |
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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.