Dan A Nichols (NPI# 1235191008, PAC ID# 8123915154) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPHTHALMOLOGY.
| Nation Provider ID (NPI) | 1235191008 |
| PAC ID by PECOS | 8123915154 |
| Professional Enrollment ID | I20100213000108 |
| Full Name | Dan A Nichols |
| Organization Legal Name | ST PAUL EYE CLINIC PA |
| Address |
1675 Beam Ave Suite 100 Maplewood MN 55109-1478 |
| Phone Number | 6517702904 |
| Gender | M |
| Medical School | UNIVERSITY OF MINNESOTA MEDICAL SCHOOL |
| Graduation Year | 1980 |
| Primary Specialty | OPHTHALMOLOGY |
| Group Practice PAC ID | 6709773823 |
| Number of Group Practice Members | 16 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1215 Town Centre Dr, Suite 100, Eagan, MN 55123-1356 | 6514542526 | ST PAUL EYE CLINIC PA |
| 1675 Beam Ave, Suite 100, Maplewood, MN 55109-1478 | 6517702904 | ST PAUL EYE CLINIC PA |
| 2680 Snelling Ave N, Suite 110, Roseville, MN 55113-1881 | 6516312922 | ST PAUL EYE CLINIC PA |
| 2080 Woodwinds Dr, Suite 230, Woodbury, MN 55125-2539 | 6515786949 | ST PAUL EYE CLINIC PA |
| Organization Legal Name | ST PAUL EYE CLINIC PA |
| Physicians | 17 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Douglas P Dworak | Ophthalmology | St Paul Eye Clinic Pa | 5945 Norwich N Ave, Oak Park Heights, MN 55082-1290 |
| Sonja E Iverson-hill | Optometry | St Paul Eye Clinic Pa | 1093 Grand Ave, St Paul, MN 55105-3002 |
| Derek Scott Horkey | Ophthalmology | St Paul Eye Clinic Pa | 5945 Norwich N Ave, Oak Park Heights, MN 55082-1290 |
| Scott Arthur Uttley | Ophthalmology | St Paul Eye Clinic Pa | 5945 Norwich N Ave, Oak Park Heights, MN 55082-1290 |
| Todd M Watanabe | Ophthalmology | St Paul Eye Clinic Pa | 5945 Norwich N Ave, Oak Park Heights, MN 55082-1290 |
| Alla Kelly | Ophthalmology | St Paul Eye Clinic Pa | 5945 Norwich N Ave, Oak Park Heights, MN 55082-1290 |
| Phillip T Sheridan | Ophthalmology | St Paul Eye Clinic Pa | 5945 Norwich N Ave, Oak Park Heights, MN 55082-1290 |
| Thomas J Rice | Ophthalmology | St Paul Eye Clinic Pa | 5945 Norwich N Ave, Oak Park Heights, MN 55082-1290 |
| Richard P Stanek | Ophthalmology | St Paul Eye Clinic Pa | 5945 Norwich N Ave, Oak Park Heights, MN 55082-1290 |
| Aaron W Tsai | Ophthalmology | St Paul Eye Clinic Pa | 5945 Norwich N Ave, Oak Park Heights, MN 55082-1290 |
| Street Address |
1675 BEAM AVE SUITE 100 |
| City | MAPLEWOOD |
| State | MN |
| Zip | 55109-1478 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Richard G Karlen | Otolaryngology | Otolaryngology Head and Neck Surgery Pa | 1675 Beam Ave, Suite 200, Maplewood, MN 55109-1479 |
| Erin E Foster | Qualified Audiologist | Otolaryngology Head and Neck Surgery Pa | 1675 Beam Ave, Suite 200, Maplewood, MN 55109-1479 |
| Thomas Luke Okner | Otolaryngology | Otolaryngology Head and Neck Surgery Pa | 1675 Beam Ave, Suite 200, Maplewood, MN 55109-1479 |
| Jamie K Flohr | Otolaryngology | Otolaryngology Head and Neck Surgery Pa | 1675 Beam Ave, Suite 200, Maplewood, MN 55109-1479 |
| Amanda R Salmon | Qualified Audiologist | Otolaryngology Head and Neck Surgery Pa | 1675 Beam Ave, Suite 200, Maplewood, MN 55109-1479 |
| Victor Stuart Cox | Otolaryngology | Otolaryngology Head and Neck Surgery Pa | 1675 Beam Ave, Suite 200, Maplewood, MN 55109-1479 |
| Kristin Bailey Gendron | Otolaryngology | Otolaryngology Head and Neck Surgery Pa | 1675 Beam Ave, Suite 200, Maplewood, MN 55109-1479 |
| Ann E Smith | Qualified Speech Language Pathologist | Otolaryngology Head and Neck Surgery Pa | 1675 Beam Ave, Suite 200, Maplewood, MN 55109-1479 |
| Cherie Y Zachary | Allergy/immunology | Otolaryngology Head and Neck Surgery Pa | 1675 Beam Ave, Suite 200, Maplewood, MN 55109-1479 |
| Amanda J Meixelsperger | Audiologist | Otolaryngology Head and Neck Surgery Pa | 1675 Beam Ave, Suite 200, Maplewood, MN 55109-1479 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Richard A Blackburn | Psychologist, Clinical | Group Health Plan Inc | 2688 Maplewood Dr, Maplewood, MN 55109-1021 |
| James P Davig | Psychologist, Clinical | Group Health Plan Inc | 2688 Maplewood Dr, Maplewood, MN 55109-1021 |
| Jane C Dever | Psychiatry | Group Health Plan Inc | 2688 Maplewood Dr, Maplewood, MN 55109-1021 |
| David H Hess | Optometry | 1431 Beam Ave, Maplewood, MN 55109-1064 | |
| Admatha Muthyala Winfred | Hospitalist | Healtheast Medical Research Institute | 1575 Beam Ave, Maplewood, MN 55109-1126 |
| Kathryn Kempe O'morchoe | Physician Assistant | Minnesota Gastroenterology Pa | 1575 Beam Ave, Maplewood, MN 55109-1126 |
| Lori A Fisher | Certified Registered Nurse Anesthetist (crna) | Metropolitan Anesthesia Network LLP | 1575 Beam Ave, Maplewood, MN 55109-1126 |
| Rahul Koranne | Internal Medicine | Healtheast Medical Research Institute | 1575 Beam Ave, Maplewood, MN 55109-1126 |
| Mark K Thalacker | Nurse Practitioner | Healtheast Medical Research Institute | 1575 Beam Ave, Maplewood, MN 55109-1126 |
| Ryan H Ban | Hospitalist | Healtheast Medical Research Institute | 1575 Beam Ave, Maplewood, MN 55109-1126 |
| Find all physicians in zip 55109 | |||
| City | MAPLEWOOD |
| Zip Code | 55109 |
| Specialty | OPHTHALMOLOGY |
| City + Specialty | MAPLEWOOD + OPHTHALMOLOGY |
Please comment or provide details below to improve the information on Dan 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.