PAUL E NICHOLAS (NPI# 1699861344) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699861344 |
| Entity Type | Individual |
| Full Name | PAUL E NICHOLAS |
| Credential | MD |
| Practice Address |
405 W College Ave Ste F Santa Rosa CA 95401-6506 |
| Practice Telephone | 7075475450 |
| Practice Fax Number | 7075733555 |
| Mailing Telephone | 7075475450 |
| Mailing Fax Number | 7075733555 |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2016-04-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
A98793 | CA | Allopathic & Osteopathic Physicians |
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
47520 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 34606500 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609898022 | Paul George Nicholas IIi | Family Medicine | 24 East Ave, Woodstown, NJ 08098-1409 | 2006-07-24 |
| Street Address |
405 W COLLEGE AVE STE F |
| City | SANTA ROSA |
| State | CA |
| Zip Code | 95401-6506 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972148575 | Megan Elizabeth Jones | In Home Supportive Care | 1239 Eardley Ave, Santa Rosa, CA 95401 | 2019-11-07 |
| 1801447230 | Patty Macisaac | Technician | 3221 Oak Farm Lane, Santa Rosa, CA 95401 | 2019-09-26 |
| 1386114981 | Victoria Maria Guillory | Dental Hygienist | 140 Stony Point Road, Suite A, Santa Rosa, CA 95401 | 2018-11-27 |
| 1811470727 | Chemarin Eve Boyd | Student in an Organized Health Care Education/Training Program | 1260 N Dutton Avenue, 225, Santa Rosa, CA 95401 | 2018-09-07 |
| 1073008181 | Cristavel Camacho | Behavioral Analyst | 1439 Range Ave, #101, Santa Rosa, CA 95401 | 2018-06-30 |
| 1619479102 | Victoria King | Behavior Technician | 1335 N. Dutton Ave., Santa Rosa, CA 95401 | 2018-03-01 |
| 1114436060 | Lacey Lynn Palmer | Counselor | 341 Irwin Lane, Santa Rosa, CA 95401 | 2017-09-22 |
| 1720530587 | Compassionate Homecare Solutions, LLC | In Home Supportive Care | 131 A Stony Circle, Suite 500, Santa Rosa, CA 95401 | 2016-10-27 |
| 1366998981 | William Glenn | Marriage & Family Therapist | 1496 Willowside Road, Santa Rosa, CA 95401 | 2016-09-01 |
| 1790144046 | Advocacy Home Nursing, Inc | Home Health | 1400 North Dutton Avenue, Suite 20, Santa Rosa, CA 95401 | 2016-02-15 |
| Find all providers in zip 95401 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588906663 | Stella Lai | Psychiatry & Neurology | 990 Sonoma Ave Ste 17, Santa Rosa, CA 95404 | 2013-03-26 |
| 1447592498 | Mark Land Grossetete | Psychiatry & Neurology | 117 Camino De Vida Ste 300, Santa Rosa, NM 88435 | 2013-03-17 |
| 1588793962 | Sidney Joseph Kurn | Psychiatry & Neurology | 95 Montgomery Dr Ste 126, Santa Rosa, CA 95404-6617 | 2007-03-03 |
| 1336161835 | Joel M Reiter | Psychiatry & Neurology | 1103 Sonoma Ave, Santa Rosa, CA 95405-4805 | 2006-07-24 |
| 1346202975 | Zachary R Lewton | Psychiatry & Neurology | 1194 Montgomery Dr, Santa Rosa, CA 95405-4802 | 2006-04-06 |
| 1649471202 | Sea Jin Kim | Psychiatry & Neurology | 401 Bicentennial Way, Suite 200, Santa Rosa, CA 95403-2149 | 2007-05-30 |
| 1992837496 | Jerome Hsi-cheng Chin | Psychiatry & Neurology | 95 Montgomery Dr, Suite 102, Santa Rosa, CA 95404-6630 | 2007-03-10 |
| 1114066974 | Max Barnett Duncan | Psychiatry & Neurology | 3883 Airway Dr, Suite 201, Santa Rosa, CA 95403-1670 | 2007-02-06 |
| 1194894394 | Jet King-shing Ho | Psychiatry & Neurology | 401 Bicentennial Way, Santa Rosa, CA 95403-2149 | 2006-11-06 |
| 1053495036 | John F. Cassidy | Psychiatry & Neurology | 401 Bicentennial Way, Santa Rosa, CA 95403-2149 | 2006-10-25 |
| Find all providers in SANTA ROSA | ||||
| City | SANTA ROSA |
| Zip Code | 95401 |
Please comment or provide details below to improve the information on PAUL E NICHOLAS.
| 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.