DR. JAMES THOMAS NICHOLS III (NPI# 1649476110) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649476110 |
| Entity Type | Individual |
| Full Name | DR. JAMES THOMAS NICHOLS III |
| Credential | MD |
| Practice Address |
3635 Pennsylvania Ave Mims FL 32754-5114 |
| Practice Telephone | 3212892204 |
| Practice Fax Number | 4058441794 |
| Mailing Telephone | 3212892204 |
| Mailing Fax Number | 4058441794 |
| Enumeration Date | 2007-06-22 |
| Last Update Date | 2015-11-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | ME122364 | FL | Allopathic & Osteopathic Physicians |
| Y | 208D00000X | General Practice | ME122364 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | RAILROAD MCARE | P01045513 | 01 |
| LA | 1010693 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528674975 | James Christopher Nichols | Physician Assistant | 1746 E 2100 S, Salt Lake City, UT 84106-4165 | 2020-09-21 |
| 1639788516 | James Nichols | Social Worker | 12319 Willow Wild Dr, Austin, TX 78758-2725 | 2020-07-27 |
| 1780042887 | James K Nichols Jr. | Nurse Anesthetist, Certified Registered | 101 Coleman Dr, Prattville, AL 36067-1766 | 2016-02-03 |
| 1285985093 | James Levon Nichols II | Behavioral Analyst | 718 Ne 70th St, Oklahoma City, OK 73105-5810 | 2012-09-20 |
| 1114251204 | James Taylor Nichols | Pharmacist | Cmr 402 Box 515, Apo, AE 09180-0515 | 2009-09-23 |
| 1932306396 | James J Nichols | Physical Therapist | 32672 Us Highway 19 N, Palm Harbor, FL 34684-3113 | 2007-06-29 |
| 1891810685 | James Edward Nichols | Social Worker | 216 West College Street, Stephenville, TX 76401-2015 | 2007-03-20 |
| 1942338132 | James R Nichols | Dentist | 401 Settlers Trace Blvd, Lafayette, LA 70508-6048 | 2007-03-01 |
| 1871605659 | James F Nichols | Radiology | 1914 Truxtun Ave, Bakersfield, CA 93301-5011 | 2006-08-31 |
| 1194754713 | James W Nichols | Orthopaedic Surgery | 1112 Mill Street, Camden, SC 29020 | 2006-07-03 |
| Street Address |
3635 PENNSYLVANIA AVE |
| City | MIMS |
| State | FL |
| Zip Code | 32754-5114 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659888725 | Andria Dianna Blanchard | Clinic/Center | 2443 Harry T Moore Ave, Mims, FL 32754 | 2018-01-10 |
| 1346695970 | Joseph Tobia | Pharmacist | 2448 North Us 1 Hwy, Mims, FL 32754 | 2016-05-02 |
| 1932310679 | David Willis Do Pa | Family Medicine | 919 Leather Fern Lane, Mims, FL 32754 | 2007-05-24 |
| 1255487070 | Joy Gail Jobe | Contractor | 4042 Sweet Bay Dr, Mims, FL 32754-2209 | 2007-01-26 |
| 1861672883 | Amy L Sadler | Technician | 4021 Holder Park Dr, Mims, FL 32754-2510 | 2007-11-07 |
| 1710233465 | Nathan Owen Glenn | Physical Therapy Assistant | 3034 Folsom Rd, Mims, FL 32754-2911 | 2012-07-31 |
| 1295110583 | Jennifer Taylor | Physical Therapist | 3218 Legacy Dr, Mims, FL 32754-3022 | 2015-07-28 |
| 1689725913 | Brenda Lee Stack | Counselor | 3302 Green St, Mims, FL 32754-3813 | 2007-01-15 |
| 1881885242 | Francis Healthcare Center LLC | Pharmacy | 2448 Us Highway 1, Mims, FL 32754-3854 | 2007-08-09 |
| 1194055244 | Rock 3 | Pharmacy | 2448 Us Highway 1, Mims, FL 32754-3854 | 2010-01-12 |
| Find all providers in zip 32754 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
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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.