WILLIAM NICHOLAS (NPI# 1982032355) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982032355 |
| Entity Type | Individual |
| Full Name | WILLIAM NICHOLAS |
| Practice Address |
Us Highway 491 North Shiprock NM 87420 |
| Mailing Address |
Po Box 160 Shiprock NM 87420-0160 |
| Practice Telephone | 5053686001 |
| Practice Fax Number | 5053687011 |
| Mailing Telephone | 5053686001 |
| Mailing Fax Number | 5053687011 |
| Enumeration Date | 2013-10-23 |
| Last Update Date | 2013-10-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA.0003786 | CO | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699802579 | William R Nicholas | Otolaryngology | 127 Locust St, Danvers, MA 01923-1654 | 2007-02-27 |
| 1326116427 | William Nicholas | Allergy & Immunology | 44 Oyster Shores Rd, East Hampton, NY 11937-1179 | 2006-11-30 |
| 1871513895 | William Clyde Nicholas | Internal Medicine | 2500 North State Street, Department of Medicine Division of Endocrinology, Jackson, MS 39216-4500 | 2006-07-20 |
| 1356387484 | William John Nicholas | Internal Medicine | 3202 Mcintosh Cir, Ste Ll03, Joplin, MO 64804-3646 | 2006-06-20 |
| Street Address |
US HIGHWAY 491 NORTH |
| City | SHIPROCK |
| State | NM |
| Zip Code | 87420 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790786028 | Camille Marie Ristroph | Family Medicine | Us Highway 491 North, Physician Offices, Shiprock, NM 87420-0160 | 2005-08-09 |
| 1497368567 | Melvina Lake | Pharmacist | Us Highway 491 North, Shiprock, NM 87420 | 2020-08-28 |
| 1184903411 | Leslie Meyer | Optometrist | Us Highway 491 North, Shiprock, NM 87420 | 2011-08-04 |
| 1063708774 | Patrick William Murphy | Internal Medicine | Us Highway 491 North, Northern Navajo Medical Center, Shiprock, NM 87420 | 2011-06-21 |
| 1831327204 | Rebecca Sara Adler | Internal Medicine | Us Highway 491 North, Northern Navajo Medical Center, Shiprock, NM 87420-0160 | 2009-06-24 |
| 1235312315 | Dhhs, Phs, Naihs, Shiprock Hospital | Clinic/Center | Us Highway 491 North, Shiprock, NM 87420 | 2007-12-11 |
| 1154504231 | Dhhs, Phs, Naihs, Shiprock Hospital | General Acute Care Hospital | Us Highway 491 North, Shiprock, NM 87420-0160 | 2007-12-11 |
| 1356424006 | Michelle A Williams | Counselor | Us Highway 491 North, Shiprock, NM 87420 | 2006-10-23 |
| 1972615912 | Heather C Kovich | Family Medicine | Us Highway 491 North, Shiprock, NM 87420 | 2006-08-31 |
| 1508973694 | Harlan Hunt Kelley | Pathology | Us Highway 491 North, Shiprock, NM 87420 | 2006-08-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003424383 | Ciara Hansen | Psychologist | Us- 491, Shiprock, NM 87420 | 2020-07-22 |
| 1013540848 | Kelsi Marie Hartwig | Dental Hygienist | Highway 491 North, Yucca Street, Shiprock, NM 87420 | 2020-02-20 |
| 1194364232 | Maria Sturtz | Pharmacist | Us Why 491 North, Shiprock, NM 87420 | 2020-01-06 |
| 1811533979 | Merissa Jo De La Garza | Pharmacist | Highway 491 S, Shiprock, NM 87420 | 2019-11-25 |
| 1619528510 | Heather Scott | Psychologist | Highway 64, Old High School Road, Shiprock, NM 87420 | 2019-09-23 |
| 1396305264 | Malaura Creager | Pharmacist | North Hwy 491, Shiprock, NM 87420 | 2019-06-13 |
| 1275011488 | Dawn Fowler | Registered Nurse | Us Highway 64, Shiprock, NM 87420 | 2018-07-31 |
| 1902384373 | Brittany Jones | Occupational Therapy Assistant | Us 64, Old High School Rd., Shiprock, NM 87420 | 2018-07-30 |
| 1528561701 | Patricia D Suarez | Registered Nurse | Central Consolidated School of New Mexico, Hwy 64, Old High School Road, Shiprock, NM 87420 | 2018-03-14 |
| 1023549284 | Ellen Liversidge | Speech-Language Pathologist | Hwy 64, Old High School Rd., Shiprock, NM 87420 | 2017-03-21 |
| Find all providers in zip 87420 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134540420 | Robert Cullen Crooks | Physician Assistant | Us Hwy 491 North, Shiprock, NM 87401 | 2014-01-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386284602 | Christopher Whorley | Physician Assistant | 4683 Idlewilde Ln Se, Albuquerque, NM 87108-3421 | 2020-01-15 |
| 1053836809 | Alysha Gallegos | Physician Assistant | 6112 Molinero Ct Sw, Albuquerque, NM 87105-6814 | 2017-08-13 |
| 1164978540 | Deborah L Thorne | Physician Assistant | 111 W Lucero Ave Ste 6, Las Cruces, NM 88005-1829 | 2016-08-26 |
| 1134572738 | Weston Bradley Graff | Physician Assistant | 703 Christopher Dr, Belen, NM 87002-2617 | 2016-07-19 |
| 1295194629 | Ryan Grange | Physician Assistant | 1851 Old Highway 66 Unit 1, Edgewood, NM 87015 | 2016-02-12 |
| 1720445562 | Rebecca Gahan Brown | Physician Assistant | 150 N Roadrunner Pkwy, Las Cruces, NM 88011 | 2016-01-25 |
| 1508232240 | Edward R Watson | Physician Assistant | 2530 S Telshor Blvd Ste 207, Las Cruces, NM 88011-4975 | 2015-08-17 |
| 1306225180 | Allison Rose Crossey | Physician Assistant | 201 Cedar Street Se, Suite 6600, Albuquerque, NM 87106 | 2015-05-26 |
| 1528452208 | Taylor Bottari | Physician Assistant | 208 W Dl Ingram, Cannon Afb, NM 88103 | 2015-03-20 |
| 1336543115 | Pamela O Black Md, P.a., Dba Quadra Health Institute | Physician Assistant | 3820 Commons Ave Ne # M, Albuquerque, NM 87109-5831 | 2014-10-22 |
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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.