JILL M NICHOLSON (NPI# 1689655516) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689655516 |
| Entity Type | Individual |
| Full Name | JILL M NICHOLSON |
| Credential | MD |
| Practice Address |
1320 West Main Street Newark OH 43055 |
| Practice Telephone | 2205644151 |
| Practice Fax Number | 2205647153 |
| Mailing Telephone | 2205644151 |
| Mailing Fax Number | 2205647153 |
| Enumeration Date | 2005-11-08 |
| Last Update Date | 2018-04-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 35.077718 | OH | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 35077718 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2252333 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649558479 | Jill Carolyn Nicholson | Nurse Practitioner | 1339 Alameda Ave, Fircrest, WA 98466-6552 | 2011-07-27 |
| Street Address |
1320 WEST MAIN STREET |
| City | NEWARK |
| State | OH |
| Zip Code | 43055 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942200993 | Rebecca Thomas | Nurse Anesthetist, Certified Registered | 1320 West Main Street, Newark, OH 43055 | 2005-07-29 |
| 1679079016 | Megan Marie Lowry | Nurse Practitioner | 1320 West Main Street, Newark, OH 43055 | 2018-04-04 |
| 1104206564 | Brendan Divis | Anesthesiology | 1320 West Main Street, Newark, OH 43055 | 2015-06-01 |
| 1366862906 | Andrew Reaven | Anesthesiology | 1320 West Main Street, Newark, OH 43055-1822 | 2014-04-22 |
| 1518302066 | Leah Thornton | Anesthesiology | 1320 West Main Street, Newark, OH 43055 | 2013-05-09 |
| 1780926337 | John Peter Lazar | Pediatrics | 1320 West Main Street, Newark, OH 43055 | 2013-03-21 |
| 1669713483 | Brian F Goodhue | Emergency Medicine | 1320 West Main Street, Newark, OH 43055 | 2013-03-04 |
| 1760732374 | Amanda Sofia Davila Rodriguez | Pediatrics | 1320 West Main Street, Newark, OH 43055 | 2012-09-12 |
| 1124373535 | Jason D Carrier | Nurse Anesthetist, Certified Registered | 1320 West Main Street, Newark, OH 43055 | 2012-07-23 |
| 1033484548 | Deforest Roche Brown | Nurse Anesthetist, Certified Registered | 1320 West Main Street, Newark, OH 43055 | 2012-03-16 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770125585 | Jessica Danielle Dunkle | Case Manager/Care Coordinator | 15 N 3rd Street Suite 300, Newark, OH 43055 | 2019-10-14 |
| 1558910331 | Diana Cleland | Home Health Aide | 25 Western Rd, Apartment A, Newark, OH 43055 | 2019-09-05 |
| 1912424789 | Sandra Lou Fraley | Community/Behavioral Health | 15 North 3rd Street, Suite 300, Newark, OH 43055 | 2017-08-23 |
| 1215450911 | Caitlyn Thella Smith Elkins | Social Worker | 15 N. 3rd St., Newark, OH 43055 | 2017-07-25 |
| 1992227888 | Sierra Elizabeth Donley | Student in an Organized Health Care Education/Training Program | 140 W Church St, Newark, OH 43055 | 2017-07-12 |
| 1386170587 | Patricia Louise Fischer | Pharmacist | 1155 North 21rst Street, Newark, OH 43055 | 2017-05-08 |
| 1689120958 | Bebout Services, LLC | Home Health | 1325 Dayton Road Ne, Newark, OH 43055 | 2016-08-28 |
| 1750834594 | Laura Smith | Registered Nurse | 1445 West Main Street, Suite B, Newark, OH 43055 | 2016-07-28 |
| 1164807277 | Frank Kobe | Psychologist | 116 N. 21st Street, Newark, OH 43055 | 2015-07-30 |
| 1770975898 | Gentle Foot Care, Inc | Podiatrist | 1271 W Main Street, Bldg 1, Newark, OH 43055 | 2015-02-26 |
| Find all providers in zip 43055 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659789816 | Andrew Parrish | Emergency Medicine | 201 Lyons Avenue, Suite D11, Dept of Emergency Medicine, Newark, NJ 07112-2027 | 2014-07-31 |
| 1144638719 | Laura Rachel Fagen | Emergency Medicine | 185 S Orange Ave # Msbe-609, Newark, NJ 07103-2757 | 2014-07-28 |
| 1750792883 | Kenadeed Hersi | Emergency Medicine | 30 Bergen Street Room 1110, Newark, NJ 07103 | 2014-05-12 |
| 1447479092 | William Stanley Vachon | Emergency Medicine | 4755 Ogletown Rd, Christiana Hospital, Academic Affairs - Suite 2a00, Newark, DE 19718-0001 | 2007-04-24 |
| 1811027436 | Justin Morgan | Emergency Medicine | 4755 Olgetown Stanton Road, Newark, DE 19713 | 2007-03-06 |
| 1821133257 | Christian Coletti | Emergency Medicine | Christiana Hospital C/o Academic Affairs, Suite 2a00christiana Hospital, Newark, DE 19718-0001 | 2007-02-21 |
| 1902967235 | Jenna Marie Fredette | Emergency Medicine | 4755 Oggletown Stanton Rd, Newark, DE 19718-0001 | 2006-12-12 |
| 1700947108 | Eli Morgan Zeserson | Emergency Medicine | Christiana Care Health System / Dept Emergency Med, 4755 Ogletown-stanton Road, Newark, DE 19718-0001 | 2006-12-12 |
| 1619043387 | Parmjit M Singh | Emergency Medicine | 5763 Stevenson Blvd, Newark, CA 94560-5301 | 2006-11-27 |
| 1912954041 | Frank Suttman Orth | Emergency Medicine | 1906 Tamarack Rd, Newark, OH 43055-2303 | 2006-05-26 |
| Find all providers in NEWARK | ||||
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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.