Nichole Rene Wilson (NPI# 1083010052, PAC ID# 9335464593) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1083010052 |
| PAC ID by PECOS | 9335464593 |
| Professional Enrollment ID | I20150210000720 |
| Full Name | Nichole Rene Wilson |
| Organization Legal Name | ADVANCED UROLOGY PLLC |
| Address |
11960 Lioness Way Suite 210 Parker CO 80134-5644 |
| Phone Number | 3036956106 |
| Gender | F |
| Graduation Year | 2013 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 2365346558 |
| Number of Group Practice Members | 29 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 060100 | AURORA SOUTH HOSPITAL AND MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 11960 Lioness Way, Suite 210, Parker, CO 80134-5644 | 3036956106 | ADVANCED UROLOGY PLLC |
| Organization Legal Name | ADVANCED UROLOGY PLLC |
| Physicians | 28 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Daniel R Humer | Physician Assistant | Advanced Urology Pllc | 11960 Lioness Way, Suite 210, Parker, CO 80134-5644 |
| Ali M Sarram | Urology | Advanced Urology Pllc | 11960 Lioness Way, Suite 210, Parker, CO 80134-5644 |
| Thomas M Facelle | Urology | Advanced Urology Pllc | 11960 Lioness Way, Suite 210, Parker, CO 80134-5644 |
| Alla Segalchik | Physician Assistant | Advanced Urology Pllc | 11960 Lioness Way, Suite 210, Parker, CO 80134-5644 |
| Michael A Glass | Urology | Advanced Urology Pllc | 11960 Lioness Way, Suite 210, Parker, CO 80134-5644 |
| Diane M Hartman | Urology | Advanced Urology Pllc | 11960 Lioness Way, Suite 210, Parker, CO 80134-5644 |
| John C Kefer | Urology | Advanced Urology Pllc | 11960 Lioness Way, Suite 210, Parker, CO 80134-5644 |
| Meridith A Wood | Physician Assistant | Advanced Urology Pllc | 11960 Lioness Way, Suite 210, Parker, CO 80134-5644 |
| David J Cahn | Urology | Advanced Urology Pllc | 11960 Lioness Way, Suite 210, Parker, CO 80134-5644 |
| Steven William Luke | Urology | Advanced Urology Pllc | 11960 Lioness Way, Suite 210, Parker, CO 80134-5644 |
| Street Address |
11960 LIONESS WAY SUITE 210 |
| City | PARKER |
| State | CO |
| Zip | 80134-5644 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Daniel R Humer | Physician Assistant | Advanced Urology Pllc | 11960 Lioness Way, Suite 210, Parker, CO 80134-5644 |
| Karen Louise Bishop | Physical Therapy | Centura Ventures LLC | 11960 Lioness Way, Suite 150, Parker, CO 80134-5640 |
| Carl B Tubbs | Ophthalmology | Glaucoma Consultants of Colorado PC | 11960 Lioness Way, 190 Specialty Eye Care, Parker, CO 80134-5640 |
| Ali M Sarram | Urology | Advanced Urology Pllc | 11960 Lioness Way, Suite 210, Parker, CO 80134-5644 |
| Michael S Mccracken | Ophthalmology | 11960 Lioness Way, Suite 160, Parker, CO 80134-5640 | |
| Mary B Bogenschuetz-bonn | Physical Therapy | Centura Ventures LLC | 11960 Lioness Way, Suite 150, Parker, CO 80134-5640 |
| Thomas M Facelle | Urology | Advanced Urology Pllc | 11960 Lioness Way, Suite 210, Parker, CO 80134-5644 |
| Amy Kelso | Physician Assistant | Orthopedic Centers of Colorado LLC | 11960 Lioness Way, Parker, CO 80134-5640 |
| Alla Segalchik | Physician Assistant | Advanced Urology Pllc | 11960 Lioness Way, Suite 210, Parker, CO 80134-5644 |
| Lindsay Louise Orcholski | Physician Assistant | Orthopedic Centers of Colorado LLC | 11960 Lioness Way, Parker, CO 80134-5640 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer R Turnbaugh | Nurse Practitioner | The Little Clinic of Colorado LLC | 12959 S Parker Rd, Parker, CO 80134-3447 |
| Marion Hufford | Nurse Practitioner | The Little Clinic of Colorado LLC | 12959 S Parker Rd, Parker, CO 80134-3447 |
| Elizabeth Anne Hammond | Nurse Practitioner | The Little Clinic of Colorado LLC | 12959 S Parker Rd, Parker, CO 80134-3447 |
| Andrea Marie Jespersen | Nurse Practitioner | The Little Clinic of Colorado LLC | 12959 S Parker Rd, Parker, CO 80134-3447 |
| Crystal Ann Carmody | Nurse Practitioner | The Little Clinic of Colorado LLC | 12959 S Parker Rd, Parker, CO 80134-3447 |
| Carissa Jean Sturm | Nurse Practitioner | The Little Clinic of Colorado LLC | 12959 S Parker Rd, Parker, CO 80134-3447 |
| Philip A Paolucci | Chiropractic | 18901 E Mainstreet C, Parker Pain Relief Clinic, Parker, CO 80134-3475 | |
| Brienne A Stoneberger | Nurse Practitioner | 18801 E Mainstreet, Suite 190, Parker, CO 80134-3477 | |
| Rebecca Ann Heilig | Audiologist | Hearing Rehabilitation Center Inc | 18801 E Mainstreet, Suite 185, Parker, CO 80134-3477 |
| John E Stevens | Chiropractic | 12900 Stroh Ranch Pl, Unit 105, Parker, CO 80134-3484 | |
| Find all physicians in zip 80134 | |||
| City | PARKER |
| Zip Code | 80134 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | PARKER + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Nichole Rene Wilson.
| 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.