DR. GREGG F. NICKS (NPI# 1588658272) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588658272 |
| Entity Type | Individual |
| Full Name | DR. GREGG F. NICKS |
| Credential | M.D. |
| Practice Address |
1225 Fairway Street Bowling Green KY 42103-2477 |
| Mailing Address |
201 Park St Bowling Green KY 42101-1759 |
| Practice Telephone | 2707813910 |
| Practice Fax Number | 2708427177 |
| Mailing Telephone | 2707802497 |
| Mailing Fax Number | 2707830454 |
| Enumeration Date | 2005-09-08 |
| Last Update Date | 2015-06-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 37824 | KY | Allopathic & Osteopathic Physicians |
| N | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
37824 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 64061393 | 05 | |
| RAILROAD MEDICARE | 080194783 | 01 |
| Street Address |
1225 FAIRWAY STREET |
| City | BOWLING GREEN |
| State | KY |
| Zip Code | 42103-2477 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659343614 | Omkar N Bhatt | Family Medicine | 1225 Fairway Street, Bowling Green, KY 42103-2477 | 2006-02-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679127781 | Kw Consulting, LLC | Counselor | 1054 Searcy Way, Suite E, Bowling Green, KY 42103 | 2019-07-26 |
| 1063999662 | Southern Kentucky Surgicenter, LLC | Clinic/Center | 484 Golden Autumn Way, Suite 100, Bowling Green, KY 42103 | 2018-07-26 |
| 1780170936 | Midsouth Psychological Services, LLC | Psychologist | 996 Wilkinson Trce Ste A8, Bowling Green, KY 42103 | 2018-07-10 |
| 1760976146 | Prorehab Inc | Clinic/Center | 1110 Wilkinson Trce Ste 101, Bowling Green, KY 42103 | 2018-06-19 |
| 1063927671 | James Toney | Counselor | 624 Eastwood St, Bowling Green, KY 42103 | 2017-12-05 |
| 1366979528 | Laura Elizabeth Compton | Optometrist | 335 New Towne Drive, Bowling Green, KY 42103 | 2017-05-18 |
| 1033562632 | Elizabette Raby | Massage Therapist | 427 Us-31 Bypass, Suite 203, Bowling Green, KY 42103 | 2016-07-19 |
| 1831572460 | Casey Edward Travelsted | Dentist | 940 Us 31 W Bypass, Bowling Green, KY 42103 | 2015-07-01 |
| 1821435074 | Robert Louis Skaggs II | Dermatology | 1818 Wallace Court, Suite 301, Bowling Green, KY 42103 | 2013-05-29 |
| 1770893257 | Michelle Howell | Health Educator | 261 Moats Lane, Bowling Green, KY 42103 | 2010-10-18 |
| Find all providers in zip 42103 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235691619 | Kelly Marie Miller | Family Medicine | 1420 S Business 61 Ste Def, Bowling Green, MO 63334-5230 | 2019-04-03 |
| 1588168215 | Bgmg Corporation | Family Medicine | 905 Business 161, Bowling Green, MO 63334 | 2018-03-19 |
| 1992180772 | Commonwealth Health Corporation, Inc. | Family Medicine | 825 2nd Ave Ste B3, Bowling Green, KY 42101-1790 | 2015-07-22 |
| 1306229968 | Jerry Wayne Martin | Family Medicine | 2162 Nashville Road, Bowling Green, KY 42101-3849 | 2015-07-01 |
| 1063696003 | John C Tapp Md | Family Medicine | 414 Old Morgantown Rd, Bowling Green, KY 42101-2842 | 2007-12-27 |
| 1467650101 | Jennifer Imara Hayes-bethel | Family Medicine | 8 Town Center Dr, Bowling Green, MO 63334-2803 | 2007-07-03 |
| 1740407667 | Mcmd, Psc | Family Medicine | 1340 Ellis Place, Bowling Green, KY 42104 | 2007-04-20 |
| 1407972862 | E J Kuebeck Md Inc | Family Medicine | 1052 W Wooster St, Bowling Green, OH 43402 | 2007-03-21 |
| 1659419737 | Kevin D Dew | Family Medicine | 2508 Scottsville Rd, Suite 104, Bowling Green, KY 42104-4400 | 2007-02-02 |
| 1003994013 | William E Feeman Jr. | Family Medicine | 640 S Wintergarden Rd, Bowling Green, OH 43402-3544 | 2006-11-01 |
| Find all providers in BOWLING GREEN | ||||
| City | BOWLING GREEN |
| Zip Code | 42103 |
Please comment or provide details below to improve the information on DR. GREGG F. NICKS.
| 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.