Stephen A Nichols (NPI# 1184780009, PAC ID# 4789755877) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PEDIATRIC MEDICINE.
| Nation Provider ID (NPI) | 1184780009 |
| PAC ID by PECOS | 4789755877 |
| Professional Enrollment ID | I20100915001003 |
| Full Name | Stephen A Nichols |
| Organization Legal Name | MT WASHINGTON PEDIATRIC HOSPITAL INC |
| Address |
1708 W Rogers Ave Mt Washington Physicians Group Baltimore MD 21209-4545 |
| Phone Number | 4105788600 |
| Gender | M |
| Medical School | MEDICAL COLLEGE OF VIRGINIA COMMONWEALTH UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1994 |
| Primary Specialty | PEDIATRIC MEDICINE |
| Group Practice PAC ID | 6901891241 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 210049 | UNIVERSITY OF MD UPPER CHESAPEAKE MEDICAL CENTER |
| 210006 | UNIVERSITY OF MD HARFORD MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1708 W Rogers Ave, Mt Washington Physicians Group, Baltimore, MD 21209-4545 | 4105788600 | MT WASHINGTON PEDIATRIC HOSPITAL INC |
| Organization Legal Name | MT WASHINGTON PEDIATRIC HOSPITAL INC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Virginia A Keane | Pediatric Medicine | Mt Washington Pediatric Hospital Inc | 1708 W Rogers Ave, Mt Washington Physicians Group, Baltimore, MD 21209-4545 |
| Katharine E Alter | Pediatric Medicine | Mt Washington Pediatric Hospital Inc | 1708 W Rogers Ave, Mt Washington Physicians Group, Baltimore, MD 21209-4545 |
| Street Address |
1708 W ROGERS AVE MT WASHINGTON PHYSICIANS GROUP |
| City | BALTIMORE |
| State | MD |
| Zip | 21209-4545 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Virginia A Keane | Pediatric Medicine | Mt Washington Pediatric Hospital Inc | 1708 W Rogers Ave, Mt Washington Physicians Group, Baltimore, MD 21209-4545 |
| Katharine E Alter | Pediatric Medicine | Mt Washington Pediatric Hospital Inc | 1708 W Rogers Ave, Mt Washington Physicians Group, Baltimore, MD 21209-4545 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kate B Genut | Clinical Social Worker | 2110 Burdock Rd, Baltimore, MD 21209-1002 | |
| Slava Kreynovich | Nurse Practitioner | 2005 Jolly Rd, Baltimore, MD 21209-1013 | |
| Barbara S Prince | Clinical Social Worker | 7102 Mariposa Rd, Baltimore, MD 21209-1018 | |
| Aaron D Goldberg | Internal Medicine | 2835 Smith Ave, Suite 207, Baltimore, MD 21209-1462 | |
| Ellen L Taylor | Obstetrics/gynecology | 2835 Smith Ave, Suite 210, Baltimore, MD 21209-1462 | |
| Julian Jakobovits | Internal Medicine | Julian Jakobovits Md LLC | 2835 Smith Ave, Suite 207, Baltimore, MD 21209-1462 |
| Michael L Levin | Internal Medicine | 2835 Smith Ave, Suite 207, Baltimore, MD 21209-1462 | |
| Tikva Dixler | Physician Assistant | Julian Jakobovits Md LLC | 2835 Smith Ave, Suite 207, Baltimore, MD 21209-1462 |
| Chaim B Mond | Rheumatology | 2835 Smith Ave, Suite 207, Baltimore, MD 21209-1462 | |
| Stanley A Ordman | Diagnostic Radiology | Fands Radiology PC | 2406 Sylvale Rd, Baltimore, MD 21209-1539 |
| Find all physicians in zip 21209 | |||
| City | BALTIMORE |
| Zip Code | 21209 |
| Specialty | PEDIATRIC MEDICINE |
| City + Specialty | BALTIMORE + PEDIATRIC MEDICINE |
Please comment or provide details below to improve the information on Stephen 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.