WILLIAM A NICKLES (NPI# 1811948672) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811948672 |
| Entity Type | Individual |
| Full Name | WILLIAM A NICKLES |
| Credential | D.P.M. |
| Practice Address |
915 13th Ave N Clinton IA 52732-5067 |
| Practice Telephone | 5632432511 |
| Practice Fax Number | 5632430817 |
| Mailing Telephone | 5632432511 |
| Mailing Fax Number | 5632430817 |
| Enumeration Date | 2006-05-15 |
| Last Update Date | 2013-03-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | 00766 | IA | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 0491662 | 05 | |
| HEALTH ALLIANCE | 118341 | 01 | |
| JOHN DEERE HEALTH CARE / | IA01C1 | 01 | |
| IA | WELLMARK BC/BS | 15422 | 01 |
| MIDLANDS CHOICE | 250822 | 01 | |
| IA | DEA REGISTRATION NUMBER | BN9116535 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902252455 | William Nickles | Family Medicine | 1601 Owen Dr, Fayetteville, NC 28304-3425 | 2016-05-13 |
| Street Address |
915 13TH AVE N |
| City | CLINTON |
| State | IA |
| Zip Code | 52732-5067 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649273772 | James W Roeder | Specialist | 915 13th Ave N, Clinton, IA 52732-5067 | 2005-05-23 |
| 1437764172 | Katie Flood | Nurse Practitioner | 915 13th Ave N, Clinton, IA 52732-5067 | 2020-09-10 |
| 1467088823 | Kara Christine Lutes | Family Medicine | 915 13th Ave N, Clinton, IA 52732-5067 | 2020-03-18 |
| 1861043010 | Aubrey Matthiesen | Nurse Practitioner | 915 13th Ave N, Clinton, IA 52732-5099 | 2019-09-27 |
| 1285288795 | Shanna Maureen Krogman | Nurse Practitioner | 915 13th Ave N, Clinton, IA 52732-5067 | 2019-08-01 |
| 1275197998 | Mercy Specialty Clinic | Family Medicine | 915 13th Ave N, Clinton, IA 52732-5067 | 2019-04-29 |
| 1881169548 | Norval Edson Hoffman IIi | Pharmacist | 915 13th Ave N, Clinton, IA 52732-5067 | 2018-10-09 |
| 1356827802 | Kristie A Rice-melvin | Nurse Practitioner | 915 13th Ave N, Clinton, IA 52732-5099 | 2018-07-18 |
| 1336642313 | Medical Analgesic Services Inc | Clinic/Center | 915 13th Ave N, Clinton, IA 52732-5067 | 2018-03-15 |
| 1770005001 | Ora Orthopedics PC | Registered Nurse | 915 13th Ave N, Clinton, IA 52732-5067 | 2017-07-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891343240 | Janet R Graf | Technician | 450 South 19th St., Clinton, IA 52732 | 2019-08-29 |
| 1346807443 | Karen Daniels | Nurse Practitioner | 2701 Frienship Trl, Apt 1001, Clinton, IA 52732 | 2019-05-23 |
| 1053835256 | Linda Karina Garcia | Physician Assistant | 1410 N Fourth St, Clinton, IA 52732 | 2017-07-29 |
| 1821528423 | Tricia Lee Grimes | Technician | 2349 Dunham St, Clinton, IA 52732 | 2017-06-15 |
| 1750822425 | Danielle Judd | Skilled Nursing Facility | 2220 N 5th St, Clinton, IA 52732 | 2017-03-15 |
| 1689047185 | Connell Family Chiropractic Pllc | Chiropractor | 1485 Main Avenue, Clinton, IA 52732 | 2015-11-05 |
| 1942619713 | Reese Raymond Petersen | Chiropractor | 2319 S 19th St, Clinton, IA 52732 | 2014-08-06 |
| 1487942298 | Wagner Pharmacy Company | Pharmacy | 1726 N. 2nd Street, Clinton, IA 52732 | 2011-07-13 |
| 1275829921 | Rebecca Plante | Pharmacist | 1309 N 2nd Street, Clinton, IA 52732 | 2011-06-21 |
| 1639318363 | Ryan P Connell | Chiropractor | 1437 Main Ave, Clinton, IA 52732 | 2009-02-19 |
| Find all providers in zip 52732 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376803429 | Advanced Footcare Center | Podiatrist | 23 W Main St Apt A, Clinton, CT 06413-2062 | 2012-05-23 |
| 1740591726 | Advanced Podiatry, Inc. | Podiatrist | 1320 11th St Nw Ste F, Clinton, IA 52732-5069 | 2010-06-24 |
| 1073782462 | Woodward Foot Clinic Pllc | Podiatrist | 812 Frisco Ave, Clinton, OK 73601-3323 | 2008-02-29 |
| 1508048356 | Dr. Andrew M. Berliner | Podiatrist | 246 East Main Street, Suite 2, Clinton, CT 06413 | 2007-12-04 |
| 1083726723 | Brian Phillip Bach | Podiatrist | 9015 Woodyard, #211, Clinton, MD 20735 | 2006-08-31 |
| 1497864698 | Stefanie Monique Thomas | Podiatrist | 705 Hwy 80 West, Clinton, MS 39056 | 2006-08-30 |
| 1922032028 | Kenneth Farrish | Podiatrist | 705 Highway 80 W, Clinton, MS 39056-4103 | 2006-07-11 |
| 1285634469 | Bradley D Nelson | Podiatrist | 207 S 30th Street, Clinton, OK 73601 | 2005-07-28 |
| 1073512448 | Steven E Craig | Podiatrist | 2745 Lincoln Way, Clinton, IA 52732-7201 | 2005-07-19 |
| 1710982327 | Andrew Mark Berliner | Podiatrist | 246 E Main St, Suite 2, Clinton, CT 06413-2245 | 2005-06-20 |
| Find all providers in CLINTON | ||||
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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.