DR. JAMES ALAN NICHOLSON (NPI# 1649414913) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649414913 |
| Entity Type | Individual |
| Full Name | DR. JAMES ALAN NICHOLSON |
| Credential | MD |
| Practice Address |
Blanchfield Army Community Hospital 650 Joel Drive Fort Campbell KY 42223 |
| Practice Telephone | 2107277462 |
| Mailing Telephone | 2107277462 |
| Enumeration Date | 2009-04-29 |
| Last Update Date | 2019-07-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 35.093378 | OH | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| Eisenhower Executive Office Building, 1650 Pennsylvania Ave, Washington, DC 205020001 | 2028147514 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780887539 | James Joseph Nicholson | Counselor | 101 Lisa Ln, Lake Worth, FL 33463-4323 | 2007-06-08 |
| 1457573750 | James Sidney Nicholson Jr. | Dentist | 730 Callahan St, Muskogee, OK 74403-5143 | 2007-05-03 |
| 1558461673 | James R Nicholson | Dentist | 95 E Oak St, Zionsville, IN 46077-1523 | 2006-09-25 |
| 1265469159 | James A Nicholson | Family Medicine | 30 N 4th St Fl 2, Lebanon, PA 17046-5606 | 2006-06-27 |
| 1326504192 | James Nicholson | Behavior Technician | 3254 Henderson Rd, Columbus, OH 43220-2377 | 2019-02-15 |
| 1184136897 | James Weldon Nicholson I | Counselor | 6885 Cliffdale Rd, Fayetteville, NC 28314-2833 | 2017-11-03 |
| 1306214861 | James Nicholson | Nurse Practitioner | 269 Union St, Lynn, MA 01901-1314 | 2015-09-14 |
| 1962674655 | James A Nicholson | Dentist | 120 South 28th Avenue, Hattiesburg, MS 39401 | 2008-04-02 |
| 1467540138 | James A Nicholson | Physician Assistant | 6900 Pecos Rd, North Las Vegas, NV 89086-4400 | 2006-10-10 |
| 1083716690 | James E. Nicholson | Emergency Medicine | 800 Tilghman Dr, Dunn, NC 28334-5510 | 2006-09-03 |
| Street Address |
BLANCHFIELD ARMY COMMUNITY HOSPITAL 650 JOEL DRIVE |
| City | FORT CAMPBELL |
| State | KY |
| Zip Code | 42223 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992776991 | Gordon Troy Prairie | Family Medicine | Blanchfield Army Community Hospital, 650 Joel Drive, Fort Campbell, KY 42223 | 2006-01-28 |
| 1477181428 | Aaron Alan Hardy | Physician Assistant | Blanchfield Army Community Hospital, 650 Joel Drive, Fort Campbell, KY 42223 | 2020-03-27 |
| 1598390452 | Raymond L. Hernandez | Physician Assistant | Blanchfield Army Community Hospital, 650 Joel Drive, Fort Campbell, KY 42223-5349 | 2020-03-11 |
| 1053801886 | Mark Leon Siebe | Family Medicine | Blanchfield Army Community Hospital, 650 Joel Dr, Fort Campbell, KY 42223-5318 | 2018-05-17 |
| 1891283842 | Blake Adam Glynn | Physician Assistant | Blanchfield Army Community Hospital, 650 Joel Drive, Fort Campbell, KY 42223 | 2018-04-25 |
| 1407363575 | Sean Patrick Casey Stewart | Pharmacist | Blanchfield Army Community Hospital, 650 Joel Drive, Fort Campbell, KY 42223 | 2018-01-10 |
| 1871020081 | Marquita Sheree Barr | Social Worker | Blanchfield Army Community Hospital, 650 Joel Dr, Fort Campbell, KY 42223-5349 | 2017-05-18 |
| 1346776465 | Curtiss Mills | Family Medicine | Blanchfield Army Community Hospital, 650 Joel Dr, Fort Campbell, KY 42223 | 2017-05-10 |
| 1497295240 | Sarahlouise Perez | Counselor | Blanchfield Army Community Hospital, 650 Joel Drive, Fort Campbell, KY 42223 | 2017-02-27 |
| 1134675481 | Joseph Flynn Drevlow | Physician Assistant | Blanchfield Army Community Hospital, 650 Joel Drive, Fort Campbell, KY 42223 | 2016-08-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558978825 | Eden Addisu Kebede | Social Worker | Ft. Campbell/bach, 650 Joel Drive, Fort Campbell, KY 42223 | 2020-09-30 |
| 1174134662 | Lucas Pepper | Dentist | Desert Storm Ave, Bldg 5580, Apo, AA 42223 | 2020-08-10 |
| 1639711203 | Travis Robert Bryant | Optometrist | 5979 Desert Storm Ave., Lapointe Health Clnic Optometry, Ft. Campbell, KY 42223 | 2019-10-15 |
| 1184138232 | Vanessa Renee Simmons | Dental Assistant | 302b Baker St, Fort Campbell, KY 42223 | 2017-11-28 |
| 1922451996 | Isabella Julson | Dental Assistant | Bldg2441 21st Street, Us Army Dental Activity, Fort Campbell, KY 42223 | 2016-07-14 |
| 1336595305 | Heidi Cameron | Acupuncturist | 2889b Idaho Avenue, Fort Campbell, KY 42223 | 2016-05-10 |
| 1649644154 | Nathan Silvey | Physician Assistant | Building 4179, Fort Campbell, KY 42223 | 2015-11-20 |
| 1396145306 | Blanchfield Army Community Hospital | Clinic/Center | Bldg 2403, Air Assault St and Indiana Ave, Fort Campbell, KY 42223 | 2014-08-27 |
| 1275948564 | Rodney C Merkley | Psychologist | Building 3929, Ft. Capmbell, KY 42223 | 2014-06-25 |
| 1659785053 | Blanchfield Army Community Hospital | Clinic/Center | Bldg 6747 A Shau Valley Road, Fort Campbell, KY 42223 | 2014-06-13 |
| Find all providers in zip 42223 | ||||
| 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 |
|---|---|---|---|---|
| 1720428279 | David Christopher Henley | Family Medicine | 650 Joel Dr - Cod Credentials, Blanchfield Army Community Hospital, Fort Campbell, KY 42223 | 2013-06-28 |
| 1407897556 | Jeffrey S. Macintire | Family Medicine | Usa Meddac Bach, 650 Joel Drive, Fort Campbell, KY 42223 | 2006-06-09 |
| 1457329385 | David Reuel Navorska | Family Medicine | Aafmh, 650 Joel Drive, Fort Campbell, KY 42223-3563 | 2006-03-08 |
| 1669448163 | Matthew Nealy Fandre | Family Medicine | Blanchfield Community Hospital, 650 Joel Dr, Fort Campbell, KY 42223-5349 | 2006-02-24 |
| 1992776991 | Gordon Troy Prairie | Family Medicine | Blanchfield Army Community Hospital, 650 Joel Drive, Fort Campbell, KY 42223 | 2006-01-28 |
| 1053801886 | Mark Leon Siebe | Family Medicine | Blanchfield Army Community Hospital, 650 Joel Dr, Fort Campbell, KY 42223-5318 | 2018-05-17 |
| 1346776465 | Curtiss Mills | Family Medicine | Blanchfield Army Community Hospital, 650 Joel Dr, Fort Campbell, KY 42223 | 2017-05-10 |
| 1881134393 | Sicong Wang | Family Medicine | 650 Joel Dr, Fort Campbell, KY 42223-5318 | 2017-03-02 |
| 1336695717 | Kyle Matthew Burner | Family Medicine | 650 Joel Dr, Fort Campbell, KY 42223-5318 | 2016-08-26 |
| 1407206675 | Justin Deavers | Family Medicine | 650 Joel Dr, Fort Campbell, KY 42223-5318 | 2016-06-17 |
| Find all providers in FORT CAMPBELL | ||||
| City | FORT CAMPBELL |
| Zip Code | 42223 |
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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.