MARKYIA NICHOLS (NPI# 1750372546) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750372546 |
| Entity Type | Individual |
| Full Name | MARKYIA NICHOLS |
| Credential | MD |
| Practice Address |
163 Van Buren Rd Caribou ME 04736-3567 |
| Mailing Address |
Po Box 40 Caribou ME 04736-0040 |
| Practice Telephone | 2074982359 |
| Practice Fax Number | 2074983947 |
| Mailing Telephone | 2074982359 |
| Mailing Fax Number | 2074983947 |
| Enumeration Date | 2005-11-02 |
| Last Update Date | 2011-11-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VX0000X |
Obstetrics & Gynecology Specialization: Obstetrics |
D63010 | MD | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| JOHNS HOPKINS HEALTHCARE | 116464 | 01 | |
| AETNA HMO | 1688272 | 01 | |
| CAREFIRST | 64632404 | 01 | |
| KAISER | 253271 | 01 | |
| AETNA PPO | 7834705 | 01 | |
| CAREFIRST | 0008 | 01 | |
| MD | 407512900 | 05 |
| Street Address |
163 VAN BUREN RD |
| City | CARIBOU |
| State | ME |
| Zip Code | 04736-3567 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477548402 | Robert Bassett | Orthopaedic Surgery | 163 Van Buren Rd, Caribou, ME 04736-3567 | 2005-09-15 |
| 1215541479 | Cameron Ryan Hartford | Physical Therapy Assistant | 163 Van Buren Rd, Caribou, ME 04736-3567 | 2020-09-04 |
| 1740892322 | Letisha Leman | Occupational Therapist | 163 Van Buren Rd, Caribou, ME 04736-3567 | 2020-08-17 |
| 1083256150 | Ian Blake Sotomayor | Occupational Therapist | 163 Van Buren Rd, Caribou, ME 04736-3567 | 2019-10-10 |
| 1396387577 | Katelyn Marie Chapman | Physical Therapist | 163 Van Buren Rd, Caribou, ME 04736-3567 | 2019-10-09 |
| 1144862335 | Joshua Ellis Turbide | Occupational Therapist | 163 Van Buren Rd, Caribou, ME 04736-3567 | 2019-10-09 |
| 1922640101 | Victoria Marilyn Mcintyre | Physical Therapist | 163 Van Buren Rd, Caribou, ME 04736-3567 | 2019-10-09 |
| 1750923942 | Mitchell Vaughn Wheeler | Physical Therapy Assistant | 163 Van Buren Rd, Caribou, ME 04736-3567 | 2019-10-09 |
| 1265910723 | Dimas Yusuf | Internal Medicine | 163 Van Buren Rd, Caribou, ME 04736-3567 | 2018-08-06 |
| 1386150571 | Renee Richards | Occupational Therapist | 163 Van Buren Rd, Caribou, ME 04736-3567 | 2017-12-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073849998 | Eastern Aroostook Regional School | Local Education Agency (LEA) | 75 Glenn St, Caribou, ME 04736 | 2009-10-28 |
| 1992933675 | Philip St. Peter | In Home Supportive Care | 77 Grimes Rd, Caribou, ME 04736 | 2009-07-01 |
| 1063646982 | Cheri Melody Hayes | Occupational Therapist | 50 Page Ave, Caribou, ME 04736 | 2009-05-06 |
| 1003059189 | Maureen N. Murchison | Rehabilitation Counselor | 159 Bennett Dr Ste 201, Caribou, ME 04736 | 2009-04-20 |
| 1083864441 | Amy L. Deprey | Counselor | 43 Hatch Dr Ste 210, Caribou, ME 04736 | 2008-09-23 |
| 1043467079 | Julie M Bouchard | Physical Therapist | 118 Bennett Dr Ste 140, Caribou, ME 04736 | 2008-08-21 |
| 1770746448 | Andrea L Reid | Social Worker | 20 Old Van Buren Road, Caribou, ME 04736 | 2008-07-03 |
| 1265627863 | Aimee Victoria Mcclellan | Social Worker | 92 Bennett Drive, Caribou, ME 04736 | 2007-09-07 |
| 1245421387 | David Terry Letourneau | Specialist/Technologist | 7 Russ Street, Center for Integrated Neuro-rehab, Caribou, ME 04736 | 2007-08-05 |
| 1851512024 | Lisa Brigitte Deschenes | Physical Therapist | 10 Bernadette Street, Caribou, ME 04736 | 2007-05-02 |
| Find all providers in zip 04736 | ||||
| Taxonomy Code | 207VX0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Obstetrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710990775 | Stacey Lea Anderson | Obstetrics & Gynecology | 46 Fairview Ave Ste 229, Skowhegan, ME 04976-1481 | 2006-08-14 |
| 1811920580 | Kimberly S Kauffman | Obstetrics & Gynecology | 700 Mount Hope Ave, Suite 480, Bangor, ME 04401-5691 | 2006-07-08 |
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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.