Dianne L Nichols (NPI# 1457370819, PAC ID# 6901090349) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1457370819 |
| PAC ID by PECOS | 6901090349 |
| Professional Enrollment ID | I20101029001335 |
| Full Name | Dianne L Nichols |
| Organization Legal Name | PHILIP WISOTSKY M.D., P.C. |
| Address |
12070 Old Line Ctr Suite 207 Waldorf MD 20602-2567 |
| Phone Number | 3018700660 |
| Gender | F |
| Medical School | HOWARD UNIVERSITY COLLEGE OF MEDICINE |
| Graduation Year | 1997 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 2860529443 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 12070 Old Line Ctr, Suite 207, Waldorf, MD 20602-2567 | 3018700660 | PHILIP WISOTSKY M.D., P.C. |
| 12070 Old Line Ctr, Waldorf, MD 20602-2567 | 3018700660 | PHILIP WISOTSKY M.D., P.C. |
| Organization Legal Name | PHILIP WISOTSKY M.D., P.C. |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Philip Wisotsky | Internal Medicine | Philip Wisotsky M.d., P.C. | 11650 Doolittle Dr, Waldorf, MD 20602-3804 |
| Embarka Chaib | Nurse Practitioner | Philip Wisotsky M.d., P.C. | 11650 Doolittle Dr, Waldorf, MD 20602-3804 |
| Street Address |
12070 OLD LINE CTR SUITE 207 |
| City | WALDORF |
| State | MD |
| Zip | 20602-2567 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Moenil Patel | Nurse Practitioner | Medstar Medical Group-southern Maryland LLC | 12070 Old Line Ctr, Suite 100, Waldorf, MD 20602-2534 |
| Basirmohmad F Kolia | Cardiovascular Disease (cardiology) | Medstar Medical Group-southern Maryland LLC | 12070 Old Line Ctr, Suite 100, Waldorf, MD 20602-2534 |
| Joseph Distefano | Podiatry | Larry S Hotchkiss Dpm PC | 12070 Old Line Ctr, Suite 110, Waldorf, MD 20602-2503 |
| Anna P Thottan | Endocrinology | Medstar Medical Group-southern Maryland LLC | 12070 Old Line Ctr, Suite 100, Waldorf, MD 20602-2534 |
| Vishal Mungal | Pulmonary Disease | Medstar Medical Group-southern Maryland LLC | 12070 Old Line Ctr, Suite 100, Waldorf, MD 20602-2534 |
| Anish S Nanavati | Internal Medicine | Medstar Medical Group-southern Maryland LLC | 12070 Old Line Ctr, Suite 100, Waldorf, MD 20602-2534 |
| Arnel Castrence | Internal Medicine | Medstar Medical Group-southern Maryland LLC | 12070 Old Line Ctr, Suite 100, Waldorf, MD 20602-2534 |
| Dawn S Christopher | Cardiovascular Disease (cardiology) | Chesapeake and Washington Heart Care, PC | 12070 Old Line Ctr, Suite 303, Waldorf, MD 20602-3535 |
| Kiran D Mehta | Pulmonary Disease | Medstar Medical Group-southern Maryland LLC | 12070 Old Line Ctr, Suite 100, Waldorf, MD 20602-2534 |
| Claude Oather Spears | Nurse Practitioner | Privia Care Center LLC | 12070 Old Line Ctr, Suite 302, Waldorf, MD 20602-2567 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Benjamin R Pimentel | General Practice | The Physicians Group Chartered | 601 Post Office Rd, Suite 1a, Waldorf, MD 20602-1912 |
| Patricia Vance | Psychologist, Clinical | Coquus | 601 Post Office Rd, 2d, Waldorf, MD 20602-1912 |
| Paul E Donato | Clinical Social Worker | Coquus | 601 Post Office Rd, 2d, Waldorf, MD 20602-1912 |
| Michael A Pimentel | General Practice | The Physicians Group Chartered | 601 Post Office Rd, Suite 1a, Waldorf, MD 20602-1912 |
| Charles L Ruby | Psychologist, Clinical | Pinnacle Center for Mental Health and Human Relations LLC | 603 Post Office Rd, Suite 210, Waldorf, MD 20602-1914 |
| Lee F Owens | Psychologist, Clinical | Pinnacle Center for Mental Health and Human Relations LLC | 603 Post Office Rd, Suite 210, Waldorf, MD 20602-1914 |
| Mary Beth Voorhees | Clinical Social Worker | Walden Sierra Corporation | 85 High St, Waldorf, MD 20602-2150 |
| Larry S Hotchkiss | Podiatry | Larry S Hotchkiss Dpm PC | 12070 Old Line Ctr, Suite 110, Waldorf, MD 20602-2503 |
| Justin G Pointer | Podiatry | Larry S Hotchkiss Dpm PC | 12070 Old Line Ctr, Suite 110, Waldorf, MD 20602-2503 |
| Seth A Weaver | Podiatry | Larry S Hotchkiss Dpm PC | 12070 Old Line Ctr, Suite 110, Waldorf, MD 20602-2503 |
| Find all physicians in zip 20602 | |||
| City | WALDORF |
| Zip Code | 20602 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | WALDORF + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Dianne L 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.