DR. MICHAEL ALLISON NICHOLS (NPI# 1467628644) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467628644 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL ALLISON NICHOLS |
| Credential | M.D. |
| Practice Address |
1988 S 16th St Wilmington NC 28401-6647 |
| Mailing Address |
Po Box 4574 Wilmington NC 28406-1574 |
| Practice Telephone | 9102511839 |
| Practice Fax Number | 9102518286 |
| Mailing Telephone | (910) 251-1839 |
| Mailing Fax Number | 9102518286 |
| Enumeration Date | 2008-05-07 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
2008-00559 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | BCBS | 149RU | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 545 Ocean Hwy W, Supply, NC 284624047 | 9107544716 | 9107544530 |
| 2131 S 17th St, Wilmington, NC 284017407 | 9103423004 | 9103423097 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972116317 | Michael Nichols | Physical Therapist | 107 Cleveland Ave # 2, Cocoa Beach, FL 32931-4009 | 2020-08-25 |
| 1568818458 | Michael Nichols | Private Vehicle | 114 W Cheryl St, Osceola, AR 72370-2837 | 2016-05-10 |
| 1740328509 | Michael D Nichols | Chiropractor | 199 N Common St, Lynn, MA 01905-2516 | 2007-02-02 |
| 1720171101 | Michael Perry Nichols | Chiropractor | 4027 Allston St, Cincinnati, OH 45209-1761 | 2006-09-30 |
| 1255366563 | Michael G Nichols | Dentist | 11 N Maple, Grant, MI 49327 | 2006-07-12 |
| 1962427179 | Michael C. Nichols | Specialist | 81-948 Waena 'oihana Loop, Suite 120, Ckc Building 9, Kealakekua, HI 96750 | 2006-07-12 |
| 1437180130 | Michael Lee Nichols | Social Worker | 200 W Douglas Ave, Suite #560, Wichita, KS 67202-3013 | 2006-07-05 |
| 1902844731 | Michael W Nichols | Dentist | 116 Cumberland Ln, Jacksboro, TN 37757-2737 | 2006-06-03 |
| 1568465888 | Michael A Nichols | Nurse Anesthetist, Certified Registered | 55 Fruit St, Boston, MA 02114-2696 | 2005-05-31 |
| 1265900427 | Michael Nichols | Case Manager/Care Coordinator | 1625 Schrader Blvd, Los Angeles, CA 90028-6213 | 2018-11-06 |
| Street Address |
1988 S 16TH ST |
| City | WILMINGTON |
| State | NC |
| Zip Code | 28401-6647 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447234570 | Rex Allison Kiteley II | Radiology | 1988 S 16th St, Wilmington, NC 28401-6647 | 2005-12-02 |
| 1730576455 | Mustafa Abugideiri | Radiology | 1988 S 16th St, Wilmington, NC 28401-6647 | 2015-04-21 |
| 1578981676 | Tiffany Morgan | Radiology | 1988 S 16th St, Wilmington, NC 28401-6647 | 2014-04-04 |
| 1023315611 | Meaghan Rae Scarlett | Physician Assistant | 1988 S 16th St, Wilmington, NC 28401-6647 | 2011-02-17 |
| 1548381080 | Deborah Magnan Brasic | Nurse Practitioner | 1988 S 16th St, Wilmington, NC 28401-6647 | 2007-04-03 |
| 1831118660 | Michael Alex Papagikos | Radiology | 1988 S 16th St, Wilmington, NC 28401-6647 | 2006-07-19 |
| 1043239700 | Charles Rogers Neal | Radiology | 1988 S 16th St, Wilmington, NC 28401-6647 | 2006-07-19 |
| 1013936772 | Martin Benjamin Meyerson | Specialist | 1988 S 16th St, Wilmington, NC 28401-6647 | 2006-07-19 |
| 1457377582 | Patrick David Maguire | Radiology | 1988 S 16th St, Wilmington, NC 28401-6647 | 2006-07-14 |
| 1164448130 | Coastal Carolina Radiation Oncology, P.a. | Specialist | 1988 S 16th St, Wilmington, NC 28401-6647 | 2006-07-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275002461 | Thrivetothrive, LLC | Physical Therapist | 1606 Physicians Drive, Inside Promina Health, Wilmington, NC 28401 | 2018-11-16 |
| 1841787454 | Kevin Christopher Panebianco | Family Medicine | 1911 S 17th St Ste 130a, Wilmington, NC 28401 | 2018-04-18 |
| 1518472588 | Michelle Bruin | Family Medicine | 415 S. 2nd Street, Wilmington, NC 28401 | 2017-12-12 |
| 1639617343 | Anna Farwell | Behavior Technician | 3904 Oleander Dr. Suite 102, Wilmington, NC 28401 | 2017-02-02 |
| 1588034144 | Dimitri Zivko Pitovski | Allergy & Immunology | 1099 Medical Center Dr Unit 100b, Wilmington, NC 28401 | 2015-09-25 |
| 1629457007 | Megan Havel | Counselor | 1512 E Lakeshore Drive, Wilmington, NC 28401 | 2015-05-19 |
| 1154709251 | Lance Hutchens | Dentist | 1611 Doctors Cir, Wilmington, NC 28401 | 2015-05-11 |
| 1609281161 | Diane Pittman Whitford | Counselor | 313 Walnut St., Wilmington, NC 28401 | 2014-06-24 |
| 1942550728 | Bryan Cole Chalk | Nurse Anesthetist, Certified Registered | 2131 S 17th Street, Wilmington, NC 28401 | 2012-09-19 |
| 1740566546 | Valerie Baars | Pharmacist | 2302 S 17th Street, Wilmington, NC 28401 | 2011-10-25 |
| Find all providers in zip 28401 | ||||
| Taxonomy Code | 2085R0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Radiation Oncology |
| A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447234570 | Rex Allison Kiteley II | Radiology | 1988 S 16th St, Wilmington, NC 28401-6647 | 2005-12-02 |
| 1730576455 | Mustafa Abugideiri | Radiology | 1988 S 16th St, Wilmington, NC 28401-6647 | 2015-04-21 |
| 1578981676 | Tiffany Morgan | Radiology | 1988 S 16th St, Wilmington, NC 28401-6647 | 2014-04-04 |
| 1831118660 | Michael Alex Papagikos | Radiology | 1988 S 16th St, Wilmington, NC 28401-6647 | 2006-07-19 |
| 1043239700 | Charles Rogers Neal | Radiology | 1988 S 16th St, Wilmington, NC 28401-6647 | 2006-07-19 |
| 1457377582 | Patrick David Maguire | Radiology | 1988 S 16th St, Wilmington, NC 28401-6647 | 2006-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396121745 | Orit Kaidar - Person | Radiology | 101 Manning Drive, Cb #7512, Radiation Oncology, Chapel Hill, NC 27599-7512 | 2015-08-08 |
| 1134547201 | Zachary J Reitman | Radiology | 2301 Erwin Rd Duke University Hospital, Durham, NC 27710 | 2014-04-04 |
| 1861810756 | Susan Gr Mcduff | Radiology | Dumc 20 Duke Medical Center, Durham, NC 27710-0001 | 2014-03-28 |
| 1679830699 | Colette Joan Shen | Radiology | 101 Manning Drive Cb 7512, Chapel Hill, NC 27599-3307 | 2012-04-15 |
| 1124397328 | Aaron Tyler Wild | Radiology | 200 Queens Rd Ste 400, Charlotte, NC 28204-3264 | 2011-12-19 |
| 1891964615 | John William Nelson | Radiology | 5524 Hawthorne Park, Raleigh, NC 27613-6006 | 2008-02-26 |
| 1194905984 | Daniel G. Baseman | Radiology | 70 Neely Rd, Brevard, NC 28712-4267 | 2007-11-08 |
| 1285844183 | John S Moody | Radiology | 501 N. Elam Avenue, Greensboro, NC 27403 | 2007-05-22 |
| 1326251075 | North Carolina Oncology Associates | Radiology | 4101 Macon Pond Road, Raleigh, NC 27607-6319 | 2007-05-08 |
| 1164552865 | Christopher Ryan Kelsey | Radiology | Morris Building, Science Drive, Room 05135, Durham, NC 27710-0001 | 2007-03-06 |
| Find all providers with the same taxonomy | ||||
| City | WILMINGTON |
| Zip Code | 28401 |
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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.