DR. CARL EDWIN NICHOLS (NPI# 1982707469) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982707469 |
| Entity Type | Individual |
| Full Name | DR. CARL EDWIN NICHOLS |
| Credential | MD |
| Practice Address |
Gilmer County Urgent Care 101 College Street Glenville WV 26351-0299 |
| Mailing Address |
Po Box 299 101 College Street Glenville WV 26351-0299 |
| Practice Telephone | 3044628612 |
| Mailing Telephone | 3044628612 |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 09135 WV | WV | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | DEA | AN9129873 | 01 |
| WV | 0094061000 | 05 | |
| UMW | 1511009 | 01 | |
| WV | STATE LICENSE | 09135 WV | 01 |
| WV | BRICKSTREET | 1042791 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669707212 | Carl Thomas Nichols | Internal Medicine | 2200 S Hayden St, Amarillo, TX 79109-2206 | 2009-10-14 |
| Street Address |
GILMER COUNTY URGENT CARE 101 COLLEGE STREET |
| City | GLENVILLE |
| State | WV |
| Zip Code | 26351-0299 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073059838 | Nineteenth Circuit Community Corrections Program | Community/Behavioral Health | 216 West Main Street, Grafton, WA 26351 | 2017-01-17 |
| 1578841896 | Tana Renee Kevak | Nurse Practitioner | 921 Mineral Rd Ste 101, Glenville, WV 26351 | 2011-08-03 |
| 1881710598 | June Julie Turner | Naturopath | 2607 Duck Run Road, Glenville, WV 26351 | 2007-03-22 |
| 1366479297 | Hilary Dawn Miller | Family Medicine | 604 W Main St, Glenville, WV 26351 | 2006-06-27 |
| 1295770600 | Little Kanawha Family Medicine Pllc | Family Medicine | 604 W Main St, Glenville, WV 26351 | 2006-06-19 |
| 1669548939 | John C Westfall | Dentist | 809 Mineral Rd, Glenville, WV 26351-0700 | 2006-11-28 |
| 1679560361 | Gilmer County Ambulance Service | Ambulance | 230 W Main St, Glenville, WV 26351-1051 | 2005-09-29 |
| 1154799294 | Lasa Bree Mencer | Massage Therapist | 106 E Main St, Glenville, WV 26351-1117 | 2015-09-06 |
| 1285677013 | Mark J Cinalli Od Faao Pllc | Optometrist | 307 Howard St, Glenville, WV 26351-1170 | 2006-06-13 |
| 1043850191 | Glenville State College | Internal Medicine | 200 High St, Glenville, WV 26351-1200 | 2020-01-07 |
| Find all providers in zip 26351 | ||||
| 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 |
|---|---|---|---|---|
| 1578090486 | Aaron M Frymier | Family Medicine | 921 Mineral Rd # 101, Glenville, WV 26351-1342 | 2017-05-23 |
| 1487864732 | William Joseph Duke Dufresne | Family Medicine | 1087 Sacandaga Rd, Glenville, NY 12302-6065 | 2007-05-23 |
| 1629152301 | Lauris J Petersen | Family Medicine | 15 Glenridge Rd, Glenville, NY 12302-4520 | 2006-10-25 |
| 1902113699 | Khyber Khan | Family Medicine | 115 Saratoga Rd, Glenville, NY 12302-4211 | 2010-09-02 |
| 1659563989 | Lauris J. Petersen Md PC | Family Medicine | 15 Glenridge Rd, Glenville, NY 12302-4520 | 2007-08-10 |
| 1366479297 | Hilary Dawn Miller | Family Medicine | 604 W Main St, Glenville, WV 26351 | 2006-06-27 |
| 1295770600 | Little Kanawha Family Medicine Pllc | Family Medicine | 604 W Main St, Glenville, WV 26351 | 2006-06-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326652868 | Grace Health Care Pllc | Family Medicine | 223 5th Ave, Huntington, WV 25701-1809 | 2020-09-02 |
| 1356954259 | Relymd Medical Group Wv, Pllc | Family Medicine | 1627 Quarrier St, Charleston, WV 25311-2124 | 2020-08-28 |
| 1174133243 | Jacqulyn Marie Sheppard | Family Medicine | 2647 Raceview Dr, Ona, WV 25545-9636 | 2020-08-04 |
| 1194341594 | E. A. Hawse Health Center, Inc. | Family Medicine | Romney Elementary School, 45 School Street, Romney, WV 26757 | 2020-06-22 |
| 1730705328 | E. A. Hawse Health Center, Inc. | Family Medicine | Romney Middle School, 296 Calvert Drive, Romney, WV 26757 | 2020-06-19 |
| 1437775251 | E. A. Hawse Health Center, Inc. | Family Medicine | Hampshire High School, 157 Trojan Way, Romney, WV 26757-6317 | 2020-06-17 |
| 1235753286 | Community Health Association | Family Medicine | 146 Pinnell St, Ripley, WV 25271-9101 | 2020-06-05 |
| 1871114546 | Family Care Plus Pllc | Family Medicine | 320 Red Oaks Shopping Ctr, Ronceverte, WV 24970-1364 | 2020-05-04 |
| 1073142733 | Total Health and Recovery Clinic, LLC | Family Medicine | 1824 Murdoch Ave Bldg F Suite201, Parkersburg, WV 26101-3230 | 2020-04-05 |
| 1437780269 | Healthcare 360 Pllc | Family Medicine | 208 Dawkins Drive, Lewisburg, WV 24901 | 2020-01-30 |
| 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.