KEITH CAMERON NICHOLS (NPI# 1538194766) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538194766 |
| Entity Type | Individual |
| Full Name | KEITH CAMERON NICHOLS |
| Credential | MD |
| Practice Address |
1500 Breezeport Way Suite 100 Suffolk VA 23435-3727 |
| Mailing Address |
397 Churchill Hubbard Rd Youngstown OH 44505-1375 |
| Practice Telephone | 7576869747 |
| Practice Fax Number | 7576869748 |
| Mailing Telephone | 3307596750 |
| Mailing Fax Number | 8666874439 |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2014-02-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 01010406236 | VA | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124098785 | Keith Andrew Nichols | Family Medicine | 130 Temple St, Suite 100, Owego, NY 13827-1421 | 2006-01-25 |
| 1578669453 | Keith R Nichols | Anesthesiology | 1 Pillsbury St, Suite 202, Concord, NH 03301-3556 | 2006-09-16 |
| 1730171778 | Keith E Nichols | Surgery | 500 Thomas Ln, Suite 2c, Columbus, OH 43214-3902 | 2005-08-16 |
| Street Address |
1500 BREEZEPORT WAY SUITE 100 |
| City | SUFFOLK |
| State | VA |
| Zip Code | 23435-3727 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265742357 | Circulatory Centers, P.C. | Specialist | 1500 Breezeport Way, Suite 100, Suffolk, VA 23435-3727 | 2010-10-07 |
| 1770770380 | Genesis Aesthetic Face and Vein Specialists, PC | Surgery | 1500 Breezeport Way, Suite 100, Suffolk, VA 23435-3727 | 2007-09-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902423700 | Sean Eric Surber | Physical Therapist | 5818 D Harbour View Blvd., Suite 150, Suffolk, VA 23435 | 2020-06-29 |
| 1871158691 | Lumen Flux Pllc | Dentist | 5501 Bennett's Pasture Road, Suite D, Suffolk, VA 23435 | 2019-05-07 |
| 1588175970 | Louisa Catherine Korte | Anesthesiology | 3107 Summerhouse Drive, Suffolk, VA 23435 | 2017-10-12 |
| 1134648686 | Nicole Short Brown | Non-emergency Medical Transport (VAN) | 782 D Bennetts Meadow Lane, Suffolk, VA 23435 | 2017-09-15 |
| 1104346923 | Southerncare, Inc. | Hospice Care, Community Based | 1037 Champions Way Ste 600, Suffolk, VA 23435 | 2017-06-22 |
| 1801245329 | Usn | Military Hospital | 3602 Traverse Circle, Suffolk, VA 23435 | 2016-06-06 |
| 1366836173 | Vernon Johnson | Counselor | 6805 Castlewood Avenue, Suffolk, VA 23435 | 2015-03-19 |
| 1265776751 | Sister's Developing Growth & Change, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 6101 Bradford Drive #b, Suffolk, VA 23435 | 2012-11-21 |
| 1770899247 | Lefcoe, Weinstein, Sachs, Schiff & Associates | Dentist | 210 Meadow View Boulevard, Suffolk, VA 23435 | 2010-08-23 |
| 1770805178 | Nikkiah Wyatt Smith | Counselor | 5705 Lee Farm Ln Ste D, Suffolk, VA 23435 | 2010-02-25 |
| Find all providers in zip 23435 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447676648 | Michelle O Rizzatti | Specialist | 1205 Parker Dr, Suffolk, VA 23434-2909 | 2014-03-12 |
| 1215280961 | Alexis M Gambrell | Specialist | 150 Stoney Ridge Ave, Suffolk, VA 23435-3137 | 2012-10-18 |
| 1467726810 | Specialized Education of Virginia, Inc | Specialist | 154 & 156 Burnetts Way, Suffolk, VA 23434 | 2012-03-02 |
| 1770736803 | Jeffrey Scott Lewczyk | Specialist | 6808 Ivanhoe Ct, Suffolk, VA 23435-3062 | 2008-11-03 |
| 1770772220 | Step By Step Consulting | Specialist | 156 Burnetts Way, Suffolk, VA 23434-8166 | 2007-10-22 |
| 1154510600 | Wendy Lynn Fitch | Specialist | 1011 Cherry Grove Rd N, Suffolk, VA 23432-1811 | 2007-10-22 |
| 1275693962 | Snehal Damle Md PC | Specialist | 5835 Harbour View Blvd., Suite C, Suffolk, VA 23435 | 2006-12-11 |
| 1871662452 | Robert Farris Robinson Jr. | Specialist | 3005 Bay Shore Lane, Suffolk, VA 23435-3175 | 2006-11-07 |
| 1679651772 | Helena M. Guarda | Specialist | 5131 River Club Dr Ste 110, Suffolk, VA 23435-3846 | 2006-11-02 |
| 1598792525 | Edward Ellison Wing | Specialist | 1037 Champions Way, Suite 300, Suffolk, VA 23435-3764 | 2006-06-26 |
| Find all providers in SUFFOLK | ||||
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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.