MARSHALL S. NICKEL, MD PLLC (NPI# 1750734232) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750734232 |
| Entity Type | Organization |
| Organization Name | MARSHALL S. NICKEL, MD PLLC |
| Other Organization Name | UPFAMILYMEDICINE |
| Practice Address |
15 Glen Meadow Ct Pinehurst NC 28374-8242 |
| Practice Telephone | 2534149047 |
| Practice Fax Number | 2532186964 |
| Mailing Telephone | 9104200044 |
| Mailing Fax Number | 2532186964 |
| Enumeration Date | 2016-07-19 |
| Last Update Date | 2020-06-17 |
| Authorized Official Name | DR. MARSHALL NICKEL (PHYSICIAN/OWNER) |
| Authorized Official Telephone | 9104200044 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | MD60216841 | WA | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Marshall Nickel | Doing Business As Name - Organization |
| Marshall Nickel | Other Name - Individual/Organization |
| Marshall Nickel, MD | Doing Business As Name - Organization |
| Nickel, Marshall | Other Name - Individual/Organization |
| University Place Family Care | Other Name - Individual/Organization |
| UPFamilyMedicine | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1301 W Whitehall Dr, Meridian, ID 836427318 | 2083912910 | 2532186964 |
| 241 N Vine St Apt 1007w, Salt Lake City, UT 841031936 | 8012109025 | 2532186964 |
| 4114 Bridgeport Way W, University Place, WA 984664315 | 2539853501 | 2532186964 |
| 4802 86th Avenue Ct W, University Place, WA 984671840 | 2534149047 | 2532186964 |
| 4802 86th Avenue Ct W, University Place, WA 984671840 | 2539853501 | 2532186964 |
| Street Address |
15 GLEN MEADOW CT |
| City | PINEHURST |
| State | NC |
| Zip Code | 28374-8242 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841855160 | Ashley Nicole Jimenez | Registered Nurse | 120 Applecross Rd. Suite #2, Suite #2, Pinehurst, NC 28374 | 2019-05-02 |
| 1063076552 | Lesley Anne Pritchard | Physician Assistant | 5 Pine Tree Road, Unit 208, Pinehurst, NC 28374 | 2019-04-30 |
| 1477003697 | Whitney Byrd Franco | Counselor | 325 Page Rd Bldg 3, Pinehurst, NC 28374 | 2016-10-12 |
| 1649678715 | Laura Davies | Counselor | 105 Bradfordf Village Court, Bradford Associates Nc LLC, Southern Pines, NC 28374 | 2014-12-05 |
| 1942611280 | Ann Marie Toebes Richards | Family Medicine | 150 Ivey Lane, Suite B, Pinehurst, NC 28374 | 2014-05-08 |
| 1912328329 | Rebekah Thomas Wood | Behavioral Analyst | 350 Diamondhead Dr S, Pinehurst, NC 28374 | 2014-01-02 |
| 1558643015 | Michael A Rohrer | Prosthetist | 95 Aviemore Drive, Pinehurst, NC 28374 | 2011-09-12 |
| 1861799199 | Quality Care Pharmacy of The Sandhills | Pharmacy | 65 Parker Lane, Pinehurst, NC 28374 | 2011-02-23 |
| 1750681185 | Robin G Cummings | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 360 Tall Timbers Drive, Pinehurst, NC 28374 | 2010-11-02 |
| 1942523402 | Laura Schramm Kuzma | Counselor | 25 Chinquapin Rd., Suite 3b, Pinehurst, NC 28374 | 2010-03-11 |
| Find all providers in zip 28374 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942611280 | Ann Marie Toebes Richards | Family Medicine | 150 Ivey Lane, Suite B, Pinehurst, NC 28374 | 2014-05-08 |
| 1598896805 | Pinetree Clinic, Pllc | Family Medicine | 289 Olmsted Blvd Ste 7, Pinehurst, NC 28374-9023 | 2007-03-08 |
| 1326090754 | Scott Reed | Family Medicine | 301 S Division St, Pinehurst, ID 83850-9767 | 2006-05-16 |
| 1376591636 | Matthew T Manzo | Family Medicine | 10 Aviemore Drive, Pinehurst, NC 28374 | 2006-05-05 |
| 1295703239 | Renan Pierre-louis | Family Medicine | 26 Riviera Dr, Pinehurst, NC 28374-5024 | 2006-03-08 |
| 1497745525 | David John Kersbergen | Family Medicine | 205 Page Rd, Pinehurst, NC 28374-8749 | 2005-10-28 |
| 1932105889 | Gus D Prince | Family Medicine | 10 Aviemore, Pinehurst, NC 28374 | 2005-06-24 |
| 1902802853 | John W Jameson | Family Medicine | 10 Aviemore Dr, Pinehurst, NC 28374-9700 | 2005-06-24 |
| 1902323561 | Fhpg, LLC | Family Medicine | 150 Ivey Lane, Pinehurst, NC 28374 | 2017-08-24 |
| 1609168855 | Marri Kajfez Brackman | Family Medicine | 205 Page Rd, Pinehurst, NC 28374-8749 | 2011-05-06 |
| Find all providers in PINEHURST | ||||
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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.