CAMERON LEE NICHOLSON (NPI# 1932370681) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932370681 |
| Entity Type | Individual |
| Full Name | CAMERON LEE NICHOLSON |
| Credential | M.D. |
| Practice Address |
9981 S Healthpark Dr Suite 156 Ft Myers FL 33908-3618 |
| Mailing Address |
P.o. Box 2147 Ft Myers FL 33902-2147 |
| Practice Telephone | 2393435333 |
| Practice Fax Number | 2393435321 |
| Mailing Telephone | 2393435553 |
| Mailing Fax Number | 2393435321 |
| Enumeration Date | 2008-03-20 |
| Last Update Date | 2020-07-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | ME102793 | FL | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | 57.006511 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 000452700 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720589815 | Cameron Tyler Nicholson | Physician Assistant | 535 E 70th St, New York, NY 10021-4823 | 2018-02-23 |
| 1700240132 | Cameron Nicholson | Specialist/Technologist | 2429 5th St N, Columbus, MS 39705-2005 | 2016-04-12 |
| Street Address |
9981 S HEALTHPARK DR SUITE 156 |
| City | FT MYERS |
| State | FL |
| Zip Code | 33908-3618 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093955122 | Rolando Chuquimia | Pediatrics | 9981 S Healthpark Dr, Suite 619, Ft Myers, FL 33908 | 2009-03-03 |
| 1134103658 | Charles M Mccurdy Jr. | Obstetrics & Gynecology | 9981 S Healthpark Dr, Suite 159, Ft Myers, FL 33908-3618 | 2005-11-30 |
| 1215926704 | Hsin-cheng Yu | Pediatrics | 9981 S Healthpark Dr, Ft Myers, FL 33908-3618 | 2005-10-18 |
| 1831186832 | Lilian Barroso | Nurse Practitioner | 9981 S Healthpark Dr, Picu, Ft Myers, FL 33908-3618 | 2005-10-04 |
| 1801883871 | Pamela Kay Bolton | Clinical Nurse Specialist | 9981 S Healthpark Dr, Suite 156, Ft Myers, FL 33908 | 2005-10-04 |
| 1538156906 | Emad Salman | Internal Medicine | 9981 S Healthpark Dr, Suite 156, Ft Myers, FL 33908-3618 | 2005-09-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760081806 | 1 Recovery | Community/Behavioral Health | 111 Daniels Dr, Fort Myers, FL 33908 | 2020-10-20 |
| 1457916462 | Avipharm, LLC | Pharmacy | 7669 Calistoble Loop, 2nd Floor, Fort Myers, FL 33908 | 2019-05-06 |
| 1013492289 | Craig M Stein | Pharmacist | 15236 Tropic Bird Court, Fort Myers, FL 33908 | 2018-10-03 |
| 1730665167 | Kyndra Lynn Petrick | Psychiatry & Neurology | 8560 Big Mangrove Dr, Fort Myers, FL 33908 | 2018-07-18 |
| 1447757547 | Douglas L Jarrett | Nurse Practitioner | 16261 Bass Rd Suite 300, Fort Myers, FL 33908 | 2018-04-06 |
| 1447754825 | Luis Daniel Ramos | General Practice | 15590 Ocean Walk Cir Apt 201, Fort Myers, FL 33908 | 2018-03-21 |
| 1619497062 | Vanesa Paola Vaquer | Dentist | 18070 S Tamiami Trl Ste 101, Fort Myers, FL 33908 | 2017-06-26 |
| 1962859603 | Teresa Ruiz | Behavior Technician | 15081 Woodrich Bend Ct Apt 416, Fort Myers, FL 33908 | 2016-05-23 |
| 1669865721 | Elena B. Alexiev | Dentist | 18070 S. Tamiami Trail, #101, Fort Myers, FL 33908 | 2015-03-13 |
| 1134488919 | Cecelia Anne Collins | Dietitian, Registered | 9215 Calle Arragon Avenue, Unit 205, Fort Myers, FL 33908 | 2012-05-14 |
| Find all providers in zip 33908 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790946069 | Patrick Shin Maeng | Pediatrics | 7970 Summer Lakes Dr, 200, Ft Myers, FL 33907 | 2008-06-19 |
| 1093955122 | Rolando Chuquimia | Pediatrics | 9981 S Healthpark Dr, Suite 619, Ft Myers, FL 33908 | 2009-03-03 |
| 1205989183 | Pediatric Centers of Lee Co | Pediatrics | 4048 Evans Ave, Ste 209, Ft Myers, FL 33901 | 2007-01-22 |
| 1003974783 | Osvaldo R Morales Del Castillo | Pediatrics | 4048 Evans Ave, Suite 209, Ft Myers, FL 33901 | 2006-12-05 |
| 1720178544 | Yanet Rios | Pediatrics | 9981 Healthpark Drive, Ft Myers, FL 33908-3618 | 2006-10-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134734072 | Megan Anne Watkins | Pediatrics | 2020 Cattleman Rd, Suite 600, Sarasota, FL 34232 | 2020-09-08 |
| 1114530664 | Complex Care of Central Florida, LLC | Pediatrics | 508 Sweetwater Club Cir, Longwood, FL 32779-2131 | 2020-08-25 |
| 1073123931 | Topaz Pediatrics, LLC | Pediatrics | 2513 E Semoran Blvd, Apopka, FL 32703-5835 | 2020-08-05 |
| 1255941688 | Doctors Memorial Health Clinic | Pediatrics | 2910 Hospital Dr Ste B, Bonifay, FL 32425-4268 | 2020-07-31 |
| 1508475815 | Baptist Primary Care Inc | Pediatrics | 520 A1a N Ste 102, Ponte Vedra Beach, FL 32082-2260 | 2020-07-23 |
| 1720603129 | Kids' Corner Pediatrics | Pediatrics | 1114 Bell Shoals Road, Brandon, FL 33511-8813 | 2020-06-11 |
| 1245855063 | Pediatric Associates of Tampa Bay, LLC | Pediatrics | 901 E Bloomingdale Ave # 501, Brandon, FL 33511-8118 | 2020-06-09 |
| 1396369187 | Im Sulzbacher Center for The Homeless, Inc | Pediatrics | 5455 Springfield Blvd, Jacksonville, FL 32208-5166 | 2020-06-08 |
| 1255954855 | Step By Step Ppec Corp | Pediatrics | 8300 Nw 177th St, Hialeah, FL 33015-3645 | 2020-05-19 |
| 1932721107 | Dr. B's Kids, Pa | Pediatrics | 215 Nw 138th Ter Ste 100, Newberry, FL 32669-2090 | 2020-05-11 |
| Find all providers with the same taxonomy | ||||
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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.