James Robert Nickol (NPI# 1942296991, PAC ID# 9133182413) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
Nation Provider ID (NPI) | 1942296991 |
PAC ID by PECOS | 9133182413 |
Professional Enrollment ID | I20041108000811 |
Full Name | James Robert Nickol |
Organization Legal Name | DR JAMES R NICKOL DR FRANK L WEIDEMA OPTOMETRISTS PA |
Address |
1518 Market St Pocomoke City MD 21851-1712 |
Phone Number | 4109571113 |
Gender | M |
Credential | OD |
Medical School | INDIANA UNIVERSITY - SCHOOL OF OPTOMETRY |
Graduation Year | 1976 |
Primary Specialty | OPTOMETRY |
Group Practice PAC ID | 0244293520 |
Number of Group Practice Members | 2 |
Accepts Medicare Assignment | Y |
Address | Phone | Organization |
---|---|---|
1518 Market St, Pocomoke City, MD 21851-1712 | 4109571113 | DR JAMES R NICKOL DR FRANK L WEIDEMA OPTOMETRISTS PA |
Organization Legal Name | DR JAMES R NICKOL DR FRANK L WEIDEMA OPTOMETRISTS PA |
Physicians | 1 |
Street Address |
1518 MARKET ST |
City | POCOMOKE CITY |
State | MD |
Zip | 21851-1712 |
Name | Specialty | Organization | Address |
---|---|---|---|
Frank L Weidema | Optometry | 1518 Market St, Pocomoke City, MD 21851-1712 |
Name | Specialty | Organization | Address |
---|---|---|---|
Jesus G Santiano | General Practice | 100 8th St, Pocomoke City, MD 21851-1129 | |
Dennis A Cuzzo | Chiropractic | 100 8th St, Pocomoke City, MD 21851-1129 | |
Kathryn J Wool | Registered Dietitian Or Nutrition Professional | Worcester County Health Department | 400 Walnut St A, Pocomoke City, MD 21851-1501 |
Amy S Johnson | Family Medicine | Blue Heron Medical Group LLC | 305 10th St, Suite 101, Pocomoke City, MD 21851-1607 |
Paul R Fleury | Internal Medicine | Blue Heron Medical Group LLC | 305 10th St, Suite 101, Pocomoke City, MD 21851-1607 |
Joshua Steven Brewer | Family Medicine | Blue Heron Medical Group LLC | 305 10th St, Suite 101, Pocomoke City, MD 21851-1607 |
Mary L Fleury | Internal Medicine | Blue Heron Medical Group LLC | 305 10th St, Suite 101, Pocomoke City, MD 21851-1607 |
Stephanie Howard | Nurse Practitioner | Everest Medical Center P A | 1604 Market St, Pocomoke City, MD 21851-1714 |
Sarad Raj Baral | Internal Medicine | Everest Medical Center P A | 1604 Market St, Pocomoke City, MD 21851-1714 |
City | POCOMOKE CITY |
Zip Code | 21851 |
Specialty | OPTOMETRY |
City + Specialty | POCOMOKE CITY + OPTOMETRY |
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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.