NICHOLAS VANCE (NPI# 1760774616) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760774616 |
| Entity Type | Individual |
| Full Name | NICHOLAS VANCE |
| Credential | M.D. |
| Practice Address |
569 Skyline Dr Ste 100 Jackson TN 38301-3911 |
| Practice Telephone | 7314277888 |
| Practice Fax Number | 7312654159 |
| Mailing Telephone | 7314277888 |
| Mailing Fax Number | 7312654159 |
| Enumeration Date | 2011-05-11 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 56124 | TN | Allopathic & Osteopathic Physicians |
| N | 207X00000X | Orthopaedic Surgery | 0101259929 | VA | Allopathic & Osteopathic Physicians |
| N | 207X00000X | Orthopaedic Surgery | 0040945 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | Q031011 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1501 Maple Ave Ste 200, Richmond, VA 232262553 | 8042882830 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528007705 | Nicholas C Vance | Physician Assistant | 1325 Locust Ave, Fairmont, WV 26554-1435 | 2006-06-05 |
| Street Address |
569 SKYLINE DR STE 100 |
| City | JACKSON |
| State | TN |
| Zip Code | 38301-3911 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124634696 | Lindsey Crowder | Social Worker | 127 Mccowat Street, Jackson, TN 38301 | 2020-09-21 |
| 1366928087 | Primary Care - South Limited | Clinic/Center | 1385 South Highland Ave, Suite B-1, Jackson, TN 38301 | 2018-07-16 |
| 1629592522 | Tlc Home Care Services, LLC | In Home Supportive Care | 39 Old Denmark Rd, Jackson, TN 38301 | 2017-08-01 |
| 1841730421 | Southern Hands Quality Care | In Home Supportive Care | 1298 N. Highland Avenue. Suite 14, Jackson, TN 38301 | 2017-03-02 |
| 1881044477 | Katie Mcmickin | Counselor | 163 Sunnyside Dr, Jackson, TN 38301 | 2016-06-15 |
| 1164815064 | Hailey Archer | Dietitian, Registered | 720 W. Forest Ave., Jackson, TN 38301 | 2015-03-17 |
| 1740673714 | Regina Tignor | Nurse Practitioner | 1410 Us Highway 70 Byp, Jackson, TN 38301 | 2015-03-13 |
| 1194114033 | Woman's Clinic | Obstetrics & Gynecology | 242 Coatsland, Jackson, TN 38301 | 2015-01-15 |
| 1659797702 | Worthy Walker Arrington | Nurse Practitioner | 720 West Forest Avenue, Jackson, TN 38301 | 2014-03-13 |
| 1669717302 | Lift Wellness Inc | General Practice | 101 Jackson Walk Plaza, Jackson, TN 38301 | 2012-12-06 |
| Find all providers in zip 38301 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427614916 | Nord Regenerative Sports Medicine, LLC | Orthopaedic Surgery | 2025 Greystone Sq, Jackson, TN 38305-3576 | 2019-05-10 |
| 1578892972 | L.f.kroner IIi Md PC | Orthopaedic Surgery | 3950 Trail Dr, Jackson, WY 83001-9287 | 2009-12-14 |
| 1972735025 | Sreenivasa Reddy Alla | Orthopaedic Surgery | 726 Highway 11 N, Suite 5, Jackson, KY 41339 | 2009-08-21 |
| 1841411790 | David John Gandy | Orthopaedic Surgery | 971 Lakeland Dr Ste 950, Jackson, MS 39216-4608 | 2007-05-01 |
| 1760521702 | David Khoury Iv | Orthopaedic Surgery | Teton Orthopaedics, 555 E. Broadway, Jackson, WY 83001 | 2007-02-06 |
| 1487720355 | Alabama Orthopaedic Clinic, PC | Orthopaedic Surgery | 220 Hospital Ave, Jackson, AL 36545 | 2006-11-24 |
| 1649341876 | Jackson Orthopaedic Care & Surgery, P.C. | Orthopaedic Surgery | 200 Summit Ave, Suite A, Jackson, MI 49201-2464 | 2006-11-10 |
| 1720157274 | Raymond Hamel Pierson | Orthopaedic Surgery | 813 Court St Ste 1, Jackson, CA 95642-2131 | 2006-11-07 |
| 1952487001 | William C Neal, M.d. Pllc | Orthopaedic Surgery | 945 West Braodway, Suite 202, Jackson, WY 83001-7369 | 2006-10-31 |
| 1881775708 | Khawaja Haroun Ikram | Orthopaedic Surgery | 200 Summit Ave Ste A, Jackson, MI 49201-2465 | 2006-10-18 |
| Find all providers in JACKSON | ||||
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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.