Nicole P Nuckols (NPI# 1790099547, PAC ID# 5395939516) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1790099547 |
| PAC ID by PECOS | 5395939516 |
| Professional Enrollment ID | I20101102000538 |
| Full Name | Nicole P Nuckols |
| Organization Legal Name | SPECIALTY PHYSICIANS OF CENTRAL TEXAS |
| Address |
1305 Wonder World Dr San Marcos TX 78666-7541 |
| Gender | F |
| Graduation Year | 2008 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 1052495876 |
| Number of Group Practice Members | 26 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450272 | CENTRAL TEXAS MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1305 Wonder World Dr, San Marcos, TX 78666-7541 | SPECIALTY PHYSICIANS OF CENTRAL TEXAS | |
| 1340 Wonder World Dr, Suite 4301, San Marcos, TX 78666-7695 | 5123963911 | SPECIALTY PHYSICIANS OF CENTRAL TEXAS |
| 401 Broadway St, San Marcos, TX 78666-7771 | 5128055650 | SPECIALTY PHYSICIANS OF CENTRAL TEXAS |
| Organization Legal Name | SPECIALTY PHYSICIANS OF CENTRAL TEXAS |
| Physicians | 31 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Connie Pham | Family Medicine | Specialty Physicians of Central Texas | 1920 Corporate Dr, Suite 208, San Marcos, TX 78666-6286 |
| Gilbert Rodriguez Jr. | Family Medicine | Specialty Physicians of Central Texas | 177 Kirkham Cir, Kyle, TX 78640-9708 |
| Anna White | Nurse Practitioner | Specialty Physicians of Central Texas | 1320 Wonder World Dr, Suite 101, San Marcos, TX 78666-7558 |
| Eric W Price | Family Medicine | Specialty Physicians of Central Texas | 201 Fm, 3237 Suite 111, Wimberley, TX 78676-2119 |
| Robert R Duran | General Surgery | Specialty Physicians of Central Texas | 1340 Wonder World Dr, Suite 4301, San Marcos, TX 78666-7695 |
| James E Jankowski | Physician Assistant | Specialty Physicians of Central Texas | 1340 Wonder World Dr, Suite 4301, San Marcos, TX 78666-7695 |
| Darcy D Sammons | Nurse Practitioner | Specialty Physicians of Central Texas | 1305 Wonder World Dr, San Marcos, TX 78666-7541 |
| Michael Montgomery Blair | Otolaryngology | Specialty Physicians of Central Texas | 1340 Wonder World Dr, Suite 4301, San Marcos, TX 78666-7695 |
| Aminatu Akande | Obstetrics/gynecology | Specialty Physicians of Central Texas | 1305 Wonder World Dr, Suite 300, San Marcos, TX 78666-7541 |
| Jessica Camille Sanders | Nurse Practitioner | Specialty Physicians of Central Texas | 1340 Wonder World Dr, Suite 4301, San Marcos, TX 78666-7695 |
| Street Address |
1305 WONDER WORLD DR |
| City | SAN MARCOS |
| State | TX |
| Zip | 78666-7541 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Juan F Quintana | Certified Registered Nurse Anesthetist (crna) | Youngs Professional Services LLC | 1305 Wonder World Dr, Suite 105, San Marcos, TX 78666-7502 |
| Darcy D Sammons | Nurse Practitioner | Specialty Physicians of Central Texas | 1305 Wonder World Dr, San Marcos, TX 78666-7541 |
| Virginia G Mckeon | Certified Registered Nurse Anesthetist (crna) | Youngs Professional Services LLC | 1305 Wonder World Dr, Suite 105, San Marcos, TX 78666-7502 |
| Sara K Browning | Certified Registered Nurse Anesthetist (crna) | Youngs Professional Services LLC | 1305 Wonder World Dr, Suite 105, San Marcos, TX 78666-7502 |
| Aminatu Akande | Obstetrics/gynecology | Specialty Physicians of Central Texas | 1305 Wonder World Dr, Suite 300, San Marcos, TX 78666-7541 |
| Diane M Phalen | Podiatry | 1305 Wonder World Dr, Suite 304, San Marcos, TX 78666-7542 | |
| Sandra Sears | Physician Assistant | Specialty Physicians of Central Texas | 1305 Wonder World Dr, San Marcos, TX 78666-7541 |
| Stephen W Felter | Certified Registered Nurse Anesthetist (crna) | Youngs Professional Services LLC | 1305 Wonder World Dr, Suite 105, San Marcos, TX 78666-7502 |
| Robert A Browning | Certified Registered Nurse Anesthetist (crna) | Youngs Professional Services LLC | 1305 Wonder World Dr, Suite 105, San Marcos, TX 78666-7502 |
| James K Baker | Orthopedic Surgery | 1305 Wonder World Dr, Suite 307, San Marcos, TX 78666-7542 | |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Vivek C Yagnik | Diagnostic Radiology | Austin Radiological Association | 1348 B Hwy 123 S, San Marcos, TX 78666 |
| Dan L Pong | Diagnostic Radiology | Austin Radiological Association | 1348 B Hwy 123 S, San Marcos, TX 78666 |
| Giovanni G Millare | Diagnostic Radiology | Austin Radiological Association | 1348 B Hwy 123 S, San Marcos, TX 78666 |
| Daniel G Bloom | Diagnostic Radiology | Austin Radiological Association | 1348 B Hwy 123 S, San Marcos, TX 78666 |
| Mark Poag | Diagnostic Radiology | Austin Radiological Association | 1348 B Hwy 123 S, San Marcos, TX 78666 |
| Kellan Michael Schallert | Diagnostic Radiology | Austin Radiological Association | 1348 B Hwy 123 S, San Marcos, TX 78666 |
| Sandeep Shah | Diagnostic Radiology | Austin Radiological Association | 1348 B Hwy 123 S, San Marcos, TX 78666 |
| Krishna Surapaneni | Diagnostic Radiology | Austin Radiological Association | 1348 B Hwy 123 S, San Marcos, TX 78666 |
| Patrick Dattore | Clinical Psychologist | 100 N Edward Gary St, Suite B Suite 103, San Marcos, TX 78666-0644 | |
| Donald Willis | Urology | 1601 Redwood Rd A, San Marcos, TX 78666-1423 | |
| Find all physicians in zip 78666 | |||
| City | SAN MARCOS |
| Zip Code | 78666 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | SAN MARCOS + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Nicole P Nuckols.
| 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.