MR. STEVEN EUGENE NICKMAN (NPI# 1669459301) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1669459301 |
Entity Type | Individual |
Full Name | MR. STEVEN EUGENE NICKMAN |
Credential | PA-C |
Practice Address |
8th Avenue & C Street Lds Hospital E8/ibmt Program Salt Lake City UT 84143 |
Mailing Address |
Po Box 27128 Salt Lake City UT 84127-0128 |
Practice Telephone | 8014081931 |
Practice Fax Number | 8014083072 |
Mailing Telephone | 8014083043 |
Enumeration Date | 2005-12-23 |
Last Update Date | 2011-09-30 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
276391-1206 | UT | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104881432 | Steven Louis Nickman | Pediatrics | 55 Fruit Street, Yaw 6900 Child & Adolescent Psychiatry, Boston, MA 02114 | 2006-04-19 |
Street Address |
8TH AVENUE & C STREET LDS HOSPITAL E8/IBMT PROGRAM |
City | SALT LAKE CITY |
State | UT |
Zip Code | 84143 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942796644 | Bruce Ferrin | Nurse Practitioner | 8th Avenue & C Street, Salt Lake City, UT 84143-0001 | 2018-07-05 |
1386912434 | Jillian Kaye Scott | Dietitian, Registered | 8th Avenue & C Street, Salt Lake City, UT 84143-1002 | 2011-12-05 |
1922294214 | Ryoma Tanaka | Internal Medicine | 8th Avenue & C Street, Salt Lake City, UT 84143-0001 | 2007-09-20 |
1548220809 | Ann Taylor | Pathology | 8th Avenue & C Street, Salt Lake City, UT 84143-0001 | 2006-03-23 |
1881653483 | Mary Elizabeth Hammond | Pathology | 8th Avenue & C Street, Salt Lake City, UT 84143-0001 | 2006-03-22 |
1699734053 | Christopher Martin Herman | Pathology | 8th Avenue & C Street, Salt Lake City, UT 84143-0001 | 2006-03-22 |
1740249192 | Todd Lenwell Randolph | Pathology | 8th Avenue & C Street, Salt Lake City, UT 84143-0001 | 2006-03-22 |
1548229487 | James Peter Seaman | Pathology | 8th Avenue & C Street, Salt Lake City, UT 84143-0001 | 2006-03-20 |
1548229578 | James Richard Farnsworth | Pathology | 8th Avenue & C Street, Salt Lake City, UT 84143-0001 | 2006-03-20 |
1033178090 | Melissa Hankins Cessna | Pathology | 8th Avenue & C Street, Salt Lake City, UT 84143-0001 | 2006-03-20 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053725572 | Robert Thomas Nuttall | Respiratory Therapist, Registered | 8th Ave. and C Street, Salt Lake City, UT 84143 | 2014-06-12 |
1346447331 | Intermountain Healthcare | General Acute Care Hospital | 8th Avenue and 'c' Street, Salt Lake City, UT 84143 | 2007-07-02 |
1629142898 | Robert L Mazzola | Internal Medicine | 8th & C Street, Intermountain Sleep Disorders Center - Lds Hospital, Salt Lake City, UT 84143 | 2006-11-20 |
1053407726 | Tom V Cloward | Internal Medicine | 400 D Street Ste 206, Salt Lake City, UT 84143 | 2006-10-04 |
1396838926 | Sharon Briggs Schneider | Pharmacist | 8th Ave and C Street, Salt Lake City, UT 84143 | 2006-10-02 |
1700818911 | Rebecca Bailey | Psychologist | 4n, 8th Ave C Street, Salt Lake City, UT 84143 | 2006-07-07 |
1851348924 | Gayle White | Nurse Practitioner | 8th Ave C Street, Lds Hospital Wound Care Service, Salt Lake City, UT 84143 | 2006-05-27 |
1912454448 | Todd J Seamons | Pharmacist | 8th Ave & C St, Outpatient Pharmacy, Salt Lake City, UT 84143 | 2016-09-01 |
1235568130 | Intermountain Healthcare | General Acute Care Hospital | 8th Avenue and C St, Lds Hospital, Salt Lake City, UT 84143 | 2013-11-01 |
1194061192 | Daniel John Villella | Physician Assistant | 8th Ave & C Street, Salt Lake City, UT 84143 | 2012-12-19 |
Find all providers in zip 84143 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134748080 | Shannon Dhungel | Physician Assistant | 82 S 1100 E Ste 402, Salt Lake City, UT 84102-1892 | 2020-04-10 |
1528533825 | Ryan Mclean Walsh | Physician Assistant | 1454 University Vlg, Salt Lake City, UT 84108-3518 | 2018-10-12 |
1033627351 | Linda Richards Lewis | Physician Assistant | 30 N. 1900 E, Som 5r218, Salt Lake City, UT 84132-0002 | 2018-01-22 |
1972036242 | Jace Meng | Physician Assistant | 30 N 1900 E Rm 5r218, Salt Lake City, UT 84132-0002 | 2017-04-04 |
1710372784 | Sarah Beth Wills | Physician Assistant | 500 Foot Drive, Salt Lake City, UT 84148-4004 | 2015-04-06 |
1821323742 | Sara Diane Feltz | Physician Assistant | 615 Arapeen Drive, Suite 100, Salt Lake City, UT 84108 | 2009-10-09 |
1457597809 | Wesley Messer Norwood | Physician Assistant | 150 S 1000 E Ste 200, Salt Lake City, UT 84102-1496 | 2009-01-06 |
1235146937 | Kara Alexander-agresta | Physician Assistant | 3838 S 700 E Utah Cancer Specialist-cancer Ctr, Suite 100, Salt Lake City, UT 84106 | 2006-08-02 |
1912515230 | Lesly Pineda | Physician Assistant | 4460 S Highland Dr Ste 210, Salt Lake City, UT 84124-3550 | 2020-07-22 |
1447725619 | Christy Anne Loveless | Physician Assistant | 3336 S Pioneer Pkwy, Salt Lake City, UT 84120-2000 | 2018-10-03 |
Find all providers in SALT LAKE CITY |
City | SALT LAKE CITY |
Zip Code | 84143 |
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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.