Timothy J Nicholson (NPI# 1013091941, PAC ID# 9436286465) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PEDIATRIC MEDICINE.
Nation Provider ID (NPI) | 1013091941 |
PAC ID by PECOS | 9436286465 |
Professional Enrollment ID | I20100423000237 |
Full Name | Timothy J Nicholson |
Organization Legal Name | COMMUNITY CARE PHYSICIANS PC |
Address |
711 Troy Schenectady Rd Suite 203 Latham NY 12110-2461 |
Phone Number | 5187823700 |
Gender | M |
Medical School | BOSTON UNIVERSITY SCHOOL OF MEDICINE |
Graduation Year | 1998 |
Primary Specialty | PEDIATRIC MEDICINE |
Secondary Specialties | INTERNAL MEDICINE |
Group Practice PAC ID | 8022904473 |
Number of Group Practice Members | 329 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
330153 | ELLIS HOSPITAL |
Address | Phone | Organization |
---|---|---|
711 Troy Schenectady Rd, Suite 203, Latham, NY 12110-2461 | 5187823700 | COMMUNITY CARE PHYSICIANS PC |
Organization Legal Name | COMMUNITY CARE PHYSICIANS PC |
Physicians | 267 |
Name | Specialty | Organization | Address |
---|---|---|---|
Sarah A O'leary | Nurse Practitioner | Community Care Physicians PC | 1882 New Scotland Rd, Suite 200, Slingerlands, NY 12159-3627 |
Kelsey E Tourville | Physician Assistant | Community Care Physicians PC | 61 Rowland St, Ballston Spa, NY 12020-1135 |
Jenny A Torre | Pediatric Medicine | Community Care Physicians PC | 7 B Johnson Rd, Latham, NY 12110-3003 |
Aaron J Quidort | Internal Medicine | Community Care Physicians PC | 35 Empire State Blvd, Castleton, NY 12033-9777 |
Anneliese Provost | Nurse Practitioner | Community Care Physicians PC | 4164 Route 2, Cropseyville, NY 12052 |
Jill A Gradner | Internal Medicine | Community Care Physicians PC | 199 Delaware Ave, Delmar, NY 12054-1229 |
Barbara Hunter Quinn | Nurse Practitioner | Community Care Physicians PC | 1184 State Rd, Suite 50, Ballston Lake, NY 12019 |
Kristienna Doro | Nurse Practitioner | Community Care Physicians PC | 14 Vista Blvd, Slingerlands, NY 12159-2184 |
Frances A Rosario | Nurse Practitioner | Community Care Physicians PC | 2 Clara Barton Dr, Suite 201, Albany, NY 12208-3477 |
Lisbeth M Irish | Registered Dietitian Or Nutrition Professional | Community Care Physicians PC | 501 New Karner Rd, Suite 1a, Albany, NY 12205-3882 |
Street Address |
711 TROY SCHENECTADY RD SUITE 203 |
City | LATHAM |
State | NY |
Zip | 12110-2461 |
Name | Specialty | Organization | Address |
---|---|---|---|
Darcy A Janowski | Nurse Practitioner | Community Care Physicians PC | 711 Troy Schenectady Rd, Latham, NY 12110-2461 |
Kevin E Rosas | Orthopedic Surgery | Orthopedics Ny,llp | 711 Troy Schenectady Rd, Latham, NY 12110-2442 |
Christopher D Decamp | Hand Surgery | Orthopedics Ny,llp | 711 Troy Schenectady Rd, Latham, NY 12110-2442 |
Stephen F Kineke | Family Medicine | Community Care Physicians PC | 711 Troy Schenectady Rd, Latham, NY 12110-2461 |
Justina Marie Mueller | Physician Assistant | Orthopedics Ny,llp | 711 Troy Schenectady Rd, Latham, NY 12110-2442 |
Gregory David Leder | Physician Assistant | Orthopedics Ny,llp | 711 Troy Schenectady Rd, Latham, NY 12110-2442 |
Trisha Mackenzie | Physical Therapy | Thomas Nicolla Consulting Services Pllc | 711 Troy Schenectady Rd, Suite 209, Latham, NY 12110-2461 |
Abdelhakim Dinar | Neurology | St Peters Health Partners Medical Associates PC | 711 Troy Schenectady Rd, Suite 207, Latham, NY 12110-2461 |
Elizabeth A Locke | Family Medicine | Community Care Physicians PC | 711 Troy Schenectady Rd, Latham, NY 12110-2461 |
Christopher W Doti | Nurse Practitioner | Community Care Physicians PC | 711 Troy Schenectady Rd, Latham, NY 12110-2461 |
Find all physicians in the same address |
Name | Specialty | Organization | Address |
---|---|---|---|
Joanne Fogarty | Internal Medicine | 564 Loudon Rd, Latham, NY 12110 | |
Robert Califano | Podiatry | 713 Troy Rd, Suite 222, Latham, NY 12110 | |
Keith R Edwards | Neurology | Empire Neurology, PC | 1182 Troy Schenectady Rd, Suite 203, Latham, NY 12110-1000 |
Thomas J Lovely | Neurosurgery | St Peters Hospital of The City of Albany | 1182 Troy Schenectady Rd, Suite 100, Latham, NY 12110-1000 |
John F Morrison | Neurosurgery | St Peters Hospital of The City of Albany | 1182 Troy Schenectady Rd, Suite 100, Latham, NY 12110-1000 |
Thomas M Mccormack | Neurosurgery | St Peters Hospital of The City of Albany | 1182 Troy Schenectady Rd, Suite 100, Latham, NY 12110-1000 |
Penny S Bruso | Nurse Practitioner | Empire Neurology, PC | 1182 Troy Schenectady Rd, Suite 203, Latham, NY 12110-1000 |
Taylor L Mcgrath | Physician Assistant | St Peters Hospital of The City of Albany | 1182 Troy Schenectady Rd, Suite 100, Latham, NY 12110-1000 |
Craig Goldberg | Neurology | St Peters Hospital of The City of Albany | 1182 Troy Schenectady Rd, Suite 100, Latham, NY 12110-1000 |
Brian M Gordon | Orthopedic Surgery | St Peters Hospital of The City of Albany | 1182 Troy Schenectady Rd, Suite 100, Latham, NY 12110-1000 |
Find all physicians in zip 12110 |
City | LATHAM |
Zip Code | 12110 |
Specialty | PEDIATRIC MEDICINE |
City + Specialty | LATHAM + PEDIATRIC MEDICINE |
Please comment or provide details below to improve the information on Timothy J Nicholson.
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.