Keith A Nichols (NPI# 1124098785, PAC ID# 0547288094) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1124098785 |
| PAC ID by PECOS | 0547288094 |
| Professional Enrollment ID | I20051103000659 |
| Full Name | Keith A Nichols |
| Address |
130 Temple St Suite 100 Owego NY 13827-1408 |
| Gender | M |
| Credential | MD |
| Medical School | STATE UNIVERSITY OF NEW YORK HEALTH SCIENCE CENTER OF SYRACUSE |
| Graduation Year | 1978 |
| Primary Specialty | FAMILY MEDICINE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330394 | UNITED HEALTH SERVICES HOSPITALS, INC |
| 330011 | LOURDES HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 130 Temple St, Suite 100, Owego, NY 13827-1408 |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_039_overall | Screening for Osteoporosis for Women Aged 65-85 Years of Age | 85% | |
| MIPS_EC_046_65+ | Medication Reconciliation Post-Discharge | 100% | |
| MIPS_EC_046_overall | Medication Reconciliation Post-Discharge | 100% | |
| MIPS_EC_111_overall | Pneumococcal Vaccination Status for Older Adults | 95% | |
| MIPS_EC_113_overall | Colorectal Cancer Screening | 92% | |
| MIPS_EC_128_overall | Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 100% | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% | |
| MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 100% |
| Street Address |
130 TEMPLE ST SUITE 100 |
| City | OWEGO |
| State | NY |
| Zip | 13827-1408 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Barry S Schecter | Clinical Social Worker | 130 Temple St, Suite 100, Owego, NY 13827-1471 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alan R Perestam | Chiropractic | 159 B Mcmaster St, Owego, NY 13827-1336 | |
| Jared A Smythe | Chiropractic | Owego Chiropractic PC | 115 Temple St, Owego, NY 13827-1420 |
| Ashley A. Lapinski | Chiropractic | Owego Chiropractic PC | 115 Temple St, Owego, NY 13827-1420 |
| Joseph A Loverro | Chiropractic | Owego Chiropractic PC | 115 Temple St, Owego, NY 13827-1420 |
| Sumanth Balguri | Family Medicine | United Health Services Hospitals Inc | 42 W Main St, Owego, NY 13827-1578 |
| Gary J Williams | Optometry | 293 Main St, Owego, NY 13827-1615 | |
| Raymond J Mint | Optometry | Gary J. Williams O.d., P.C. Family Eye Care | 293 Main St, Owego, NY 13827-1615 |
| Teresea G Leary | Nurse Practitioner | Our Lady of Lourdes Memorial Hospital, Inc | 500 5th Ave, Owego, NY 13827-1620 |
| Michele M Talerico | Nurse Practitioner | Our Lady of Lourdes Memorial Hospital, Inc | 500 5th Ave, Owego, NY 13827-1620 |
| Erica Z Burkert | Nurse Practitioner | Our Lady of Lourdes Memorial Hospital, Inc | 500 5th Ave, Owego, NY 13827-1620 |
| Find all physicians in zip 13827 | |||
| City | OWEGO |
| Zip Code | 13827 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | OWEGO + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Keith A Nichols.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.