Misty Marie Nichols (NPI# 1326596966, PAC ID# 9638457401) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1326596966 |
| PAC ID by PECOS | 9638457401 |
| Professional Enrollment ID | I20161028001567 |
| Full Name | Misty Marie Nichols |
| Organization Legal Name | MOUNT CARMEL - OSU PHYSICIAN ALLIANCE LLC |
| Address |
55 Park Ave Suite 275 London OH 43140-1170 |
| Phone Number | 7408457500 |
| Gender | F |
| Graduation Year | 2016 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 2860617891 |
| Number of Group Practice Members | 13 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 360189 | MADISON COUNTY HOSPITAL INC |
| Address | Phone | Organization |
|---|---|---|
| 210 N Main St, London, OH 43140-1115 | 7408457404 | MADISON FAMILY HEALTH CORPORATION |
| 54 W High St, Suite A, London, OH 43140-1115 | 7404907244 | MADISON FAMILY HEALTH CORPORATION |
| 55 Park Ave, Suite 275, London, OH 43140-1170 | 7408457500 | MOUNT CARMEL - OSU PHYSICIAN ALLIANCE LLC |
| Organization Legal Name | MOUNT CARMEL - OSU PHYSICIAN ALLIANCE LLC |
| Physicians | 15 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gary P Erdy | Family Medicine | Mount Carmel - Osu Physician Alliance LLC | 55 Park Ave, Suite 275, London, OH 43140-1170 |
| Zainab I Al-obosi | Family Medicine | Mount Carmel - Osu Physician Alliance LLC | 55 Park Ave, Suite 275, London, OH 43140-1170 |
| Sarah J Clawson | Nurse Practitioner | Mount Carmel - Osu Physician Alliance LLC | 55 Park Ave, Suite 275, London, OH 43140-1170 |
| Jessica N Ward | Nurse Practitioner | Mount Carmel - Osu Physician Alliance LLC | 55 Park Ave, Suite 275, London, OH 43140-1170 |
| Lori Ann Knight | Nurse Practitioner | Mount Carmel - Osu Physician Alliance LLC | 55 Park Ave, Suite 275, London, OH 43140-1170 |
| Alexandra C Chen | Nurse Practitioner | Mount Carmel - Osu Physician Alliance LLC | 55 Park Ave, Suite 275, London, OH 43140-1170 |
| Steven G Richardson | Family Medicine | Mount Carmel - Osu Physician Alliance LLC | 55 Park Ave, Suite 275, London, OH 43140-1170 |
| Michelle Liffor Khoury | Family Medicine | Mount Carmel - Osu Physician Alliance LLC | 55 Park Ave, Suite 275, London, OH 43140-1170 |
| Samuel David Weller | Family Medicine | Mount Carmel - Osu Physician Alliance LLC | 55 Park Ave, Suite 275, London, OH 43140-1170 |
| Jennifer E Crutchfield Hatton | Nurse Practitioner | Mount Carmel - Osu Physician Alliance LLC | 55 Park Ave, Suite 275, London, OH 43140-1170 |
| Street Address |
55 PARK AVE SUITE 275 |
| City | LONDON |
| State | OH |
| Zip | 43140-1170 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Chelsea N Moore | Nurse Practitioner | Minuteclinic Diagnostic of Pennsylvania LLC | 55 Park Ave, Collegeville, PA 19426-2629 |
| Gary P Erdy | Family Medicine | Mount Carmel - Osu Physician Alliance LLC | 55 Park Ave, Suite 275, London, OH 43140-1170 |
| Zainab I Al-obosi | Family Medicine | Mount Carmel - Osu Physician Alliance LLC | 55 Park Ave, Suite 275, London, OH 43140-1170 |
| Laura A Haines | Nurse Practitioner | Minuteclinic Diagnostic of Pennsylvania LLC | 55 Park Ave, Collegeville, PA 19426-2629 |
| Sarah J Clawson | Nurse Practitioner | Mount Carmel - Osu Physician Alliance LLC | 55 Park Ave, Suite 275, London, OH 43140-1170 |
| Evelyn Kuntz | Clinical Social Worker | 55 Park Ave, Williston Park, NY 11596-1627 | |
| Jessica N Ward | Nurse Practitioner | Mount Carmel - Osu Physician Alliance LLC | 55 Park Ave, Suite 275, London, OH 43140-1170 |
| Lori Ann Knight | Nurse Practitioner | Mount Carmel - Osu Physician Alliance LLC | 55 Park Ave, Suite 275, London, OH 43140-1170 |
| Alexandra C Chen | Nurse Practitioner | Mount Carmel - Osu Physician Alliance LLC | 55 Park Ave, Suite 275, London, OH 43140-1170 |
| Steven G Richardson | Family Medicine | Mount Carmel - Osu Physician Alliance LLC | 55 Park Ave, Suite 275, London, OH 43140-1170 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James W Kaehr | Family Medicine | Ohiohealth Corporation | 1072 Eagleton Blvd, Suite A, London, OH 43140 |
| Madeleine M Smith | Nurse Practitioner | Ohiohealth Corporation | 1072 Eagleton Blvd, Suite A, London, OH 43140 |
| Heidi Hess | Nurse Practitioner | Ohiohealth Corporation | 1072 Eagleton Blvd, Suite A, London, OH 43140 |
| Joel Rice | Nurse Practitioner | Madison Family Health Corporation | 210 N Main St, London, OH 43140-1115 |
| Krystal N Foley | Physician Assistant | Madison Family Health Corporation | 210 N Main St, London, OH 43140-1115 |
| Nancy K Allen | Clinical Social Worker | Mental Health Services for Clark Co Inc | 210 N Main St, London, OH 43140-1115 |
| Stephen T Olson | Orthopedic Surgery | Madison Family Health Corporation | 210 N Main St, London, OH 43140-1115 |
| Paul P Chu | Anesthesiology | Associated Anesthesiologists of Springfield | 210 N Main St, London, OH 43140-1115 |
| Joshua E Glupker | General Surgery | Madison Family Health Corporation | 210 N Main St, London, OH 43140-1115 |
| Abdal Rahman Alhyari | Internal Medicine | Madison Family Health Corporation | 210 N Main St, London, OH 43140-1115 |
| Find all physicians in zip 43140 | |||
| City | LONDON |
| Zip Code | 43140 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | LONDON + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Misty Marie 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.