Kathleen A Nichols (NPI# 1245241215, PAC ID# 5698743078) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1245241215 |
| PAC ID by PECOS | 5698743078 |
| Professional Enrollment ID | I20040923000179 |
| Full Name | Kathleen A Nichols |
| Organization Legal Name | VERSATILE MEDICINE PLLC |
| Address |
13055 W Mcdowell Rd Suite E106 Avondale AZ 85392-6457 |
| Phone Number | 6239758400 |
| Gender | F |
| Credential | MD |
| Medical School | UNIVERSITY OF ARIZONA COLLEGE OF MEDICINE |
| Graduation Year | 1996 |
| Primary Specialty | INTERNAL MEDICINE |
| Secondary Specialties | PEDIATRIC MEDICINE |
| Group Practice PAC ID | 3274597133 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 030093 | BANNER DEL E. WEBB MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 13055 W Mcdowell Rd, Suite E106, Avondale, AZ 85392-6457 | 6239758400 | VERSATILE MEDICINE PLLC |
| Organization Legal Name | VERSATILE MEDICINE PLLC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Miranda K Gruenberg | Physician Assistant | Versatile Medicine Pllc | 13055 W Mcdowell Rd, Suite E106, Avondale, AZ 85392-6457 |
| Terry Hicks Woodbeck | Internal Medicine | Versatile Medicine Pllc | 13055 W Mcdowell Rd, Suite E106, Avondale, AZ 85392-6457 |
| Street Address |
13055 W MCDOWELL RD SUITE E106 |
| City | AVONDALE |
| State | AZ |
| Zip | 85392-6457 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anastasia E Schmaltz | Physical Therapy | Bhsm Rehabilitation, LLC | 13055 W Mcdowell Rd, Suite G107, Avondale, AZ 85392-6450 |
| Thomas R Pena Jr. | Family Medicine | Bhsm Rehabilitation, LLC | 13055 W Mcdowell Rd, Suite G107, Avondale, AZ 85392-6450 |
| Carlos J Ventura | Internal Medicine | Bhsm Rehabilitation, LLC | 13055 W Mcdowell Rd, Suite G107, Avondale, AZ 85392-6450 |
| Rebekah Suzanne Gibbs | Physical Therapy | Bhsm Rehabilitation, LLC | 13055 W Mcdowell Rd, Suite G107, Avondale, AZ 85392-6450 |
| Zeynep Bostanci | General Surgery | Ironwood Physicians PC | 13055 W Mcdowell Rd, Suite G112, Avondale, AZ 85392-6459 |
| Ralph B Rabin | Podiatry | 13055 W Mcdowell Rd, Suite G108, Avondale, AZ 85392-6450 | |
| Neil E Raymond | Chiropractic | 13055 W Mcdowell Rd, Suite G104, Avondale, AZ 85392-6450 | |
| Darshil J Shah | Hematology/oncology | Ironwood Physicians PC | 13055 W Mcdowell Rd, Suite G112, Avondale, AZ 85392-6459 |
| Jennifer B Oneill | General Surgery | Arizona Associated Surgeons Pllc | 13055 W Mcdowell Rd, E101, Avondale, AZ 85392-6460 |
| Lauren A Hedrix | Chiropractic | 13055 W Mcdowell Rd, Suite 104, Avondale, AZ 85392-6450 | |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Daniel T Smith | Pain Management | Active Life Physical Medicine and Pain Center Pllc | 3400 N Dysart Rd, Bldg H 131, Avondale, AZ 85392-1003 |
| Breanne R Fahs | Clinical Psychologist | 3400 N Dysart Rd, Suite 117, Avondale, AZ 85392-1003 | |
| Maegan Kitzmann | Physician Assistant | Active Life Physical Medicine and Pain Center Pllc | 3400 N Dysart Rd, Bldg H 131, Avondale, AZ 85392-1003 |
| Catherine Mary Munsterman | Physician Assistant | Active Life Physical Medicine and Pain Center Pllc | 3400 N Dysart Rd, Avondale, AZ 85392-1003 |
| Shahrzad Borhan-manesh | Obstetrics/gynecology | Adelante Healthcare Inc | 3400 N Dysart Rd, Suite F121, Avondale, AZ 85392-1009 |
| Megan Nicole Spiekermeier | Nurse Practitioner | Adelante Healthcare Inc | 3400 N Dysart Rd, Suite F121, Avondale, AZ 85392-1009 |
| Davinder S Mann | Obstetrics/gynecology | Adelante Healthcare Inc | 3400 N Dysart Rd, Suite F121, Avondale, AZ 85392-1009 |
| Amanda S Andersen | Internal Medicine | Summit Medical Group Arizona LLC | 3400 N Dysart Rd, Suite G127, Avondale, AZ 85392-1011 |
| Subhasis Maitra | Internal Medicine | Summit Medical Group Arizona LLC | 3400 N Dysart Rd, Suite G127, Avondale, AZ 85392-1011 |
| George A Kunz | Certified Registered Nurse Anesthetist (crna) | 3400 N Dysart Rd, Suite H131, Avondale, AZ 85392-1012 | |
| Find all physicians in zip 85392 | |||
| City | AVONDALE |
| Zip Code | 85392 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | AVONDALE + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Kathleen 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.