DR. ROMAINE CHARLES NICHOLS JR. (NPI# 1679555270) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679555270 |
| Entity Type | Individual |
| Full Name | DR. ROMAINE CHARLES NICHOLS JR. |
| Credential | M.D. |
| Practice Address |
2015 Jefferson St Jacksonville FL 32206-3531 |
| Mailing Address |
Po Box 116304 Atlanta GA 30368-6304 |
| Practice Telephone | 9045881800 |
| Mailing Telephone | 9045881800 |
| Enumeration Date | 2005-11-18 |
| Last Update Date | 2011-10-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
ME0056785 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 059790200 | 05 |
| Street Address |
2015 JEFFERSON ST |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32206-3531 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801420211 | Wen Shen Looi | Radiology | 2015 Jefferson St, Jacksonville, FL 32206-3531 | 2020-02-24 |
| 1821646969 | Michelle Anne Wear | Registered Nurse | 2015 Jefferson St, Jacksonville, FL 32206-3531 | 2019-09-02 |
| 1053966465 | Mohammad A S A Hasan | Radiology | 2015 Jefferson St, Jacksonville, FL 32206-3531 | 2019-08-04 |
| 1447645577 | Eric Brooks | Radiology | 2015 Jefferson St, Jacksonville, FL 32206-3531 | 2015-04-06 |
| 1831538800 | Raymond Bernard Mailhot | Radiology | 2015 Jefferson St, Jacksonville, FL 32206 | 2013-06-22 |
| 1770929192 | Adam Lewis Holtzman | Radiology | 2015 Jefferson St, Jacksonville, FL 32206 | 2013-05-13 |
| 1932335957 | Michael Scott Rutenberg | Internal Medicine | 2015 Jefferson St, Jacksonville, FL 32206-3531 | 2009-06-04 |
| 1588837793 | Julie Ann Bradley | Radiology | 2015 Jefferson St, Jacksonville, FL 32206-3531 | 2008-04-09 |
| 1952508491 | Roi Dagan | Radiology | 2015 Jefferson St, University of Florida Proton Therapy Institute, Jacksonville, FL 32206-3531 | 2007-06-28 |
| 1356431688 | Daniel J Indelicato | Radiology | 2015 Jefferson St, Jacksonville, FL 32206-3531 | 2006-10-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790275543 | Marvin Victor Sindel IIi | Nurse Practitioner | 1241 E 8th St, Jacksonville, FL 32206 | 2018-05-17 |
| 1982126553 | Marcia Camille Holloway | In Home Supportive Care | 647 East 31th Street, Jacksonville, FL 32206 | 2017-07-14 |
| 1407302656 | Tahnita Fleming | Day Training, Developmentally Disabled Services | 1309 Van Buren Street, Jacksonville, FL 32206 | 2016-08-28 |
| 1912202136 | Bishop Home Care, Inc | Clinic/Center | 1627 E 8th Street, Jacksonville, FL 32206 | 2011-01-19 |
| 1407183965 | Richard Adam Crosby | Chiropractor | 4211 North Pearl St., Jacksonville, FL 32206 | 2009-11-04 |
| 1346494903 | Delvenia Renee Mitchell | Specialist | 4515 N Pearl St Apt 2, Jacksonville, FL 32206 | 2008-11-10 |
| 1962662775 | Curtis Michael Bryant | Radiology | 2015 Jefferson Street, University of Florida Proton Institute, Jacksonville, FL 32206 | 2008-06-15 |
| 1932253879 | Gale Marie Cohen-weiss | Social Worker | Veterans Health System, Jacksonville Outpatient Clinic, 1833 Boulevard, Jacksonville, FL 32206 | 2007-01-22 |
| 1396817557 | Bella Caimol Ejercito | Internal Medicine | 4608 Norwood Ave, Jacksonville, FL 32206 | 2006-11-14 |
| 1962584433 | Jessica Ivette Warthen | Pharmacist | 1833 Boluevard, Department of Veterans Affairs; Mental Health Clinic, Jacksonville, FL 32206 | 2006-10-20 |
| Find all providers in zip 32206 | ||||
| Taxonomy Code | 2085R0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Radiation Oncology |
| A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033544390 | Florida Physician Specialists LLC | Radiology | 7017 A C Skinner Pkwy, Jacksonville, FL 32256-6932 | 2013-09-05 |
| 1962662775 | Curtis Michael Bryant | Radiology | 2015 Jefferson Street, University of Florida Proton Institute, Jacksonville, FL 32206 | 2008-06-15 |
| 1275791055 | Bradford Scott Hoppe | Radiology | 4500 San Pablo Rd, Jacksonville, FL 32224 | 2008-05-28 |
| 1023282456 | Jacksonville Radiation Therapy Services LLC | Radiology | 7751 Baymeadows Road E, Jacksonville, FL 32256 | 2008-04-16 |
| 1033213038 | Jacksonville Oncology Institute Limited | Radiology | 567 N Westgate Ave, Jacksonville, IL 62650-1156 | 2006-09-11 |
| 1689630949 | Mark Emerson Augspurger | Radiology | 14546 Old Saint Augustine Rd Ste 105, Jacksonville, FL 32258-5469 | 2006-04-25 |
| 1245296904 | Ahmed M Akl | Radiology | 7015 A C Skinner Pkwy Bldg 100, Jacksonville, FL 32256-6932 | 2006-04-21 |
| 1649231291 | Randal Hollis Henderson | Radiology | 2015 N. Jefferson St., Jacksonville, FL 32206 | 2006-03-31 |
| 1972508299 | Paul B Ossi | Radiology | 10881 San Jose Blvd, Jacksonville, FL 32223-6612 | 2005-06-14 |
| 1801420211 | Wen Shen Looi | Radiology | 2015 Jefferson St, Jacksonville, FL 32206-3531 | 2020-02-24 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32206 |
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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.