DAVID NICHOLS (NPI# 1003951245) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003951245 |
| Entity Type | Individual |
| Full Name | DAVID NICHOLS |
| Credential | M.D. |
| Practice Address |
2018 Pulliam St San Angelo TX 76905 |
| Mailing Address |
730 East Eureka Street Weatherford TX 76086-6546 |
| Practice Telephone | 3256597290 |
| Practice Fax Number | 3256597291 |
| Mailing Telephone | 8175967000 |
| Mailing Fax Number | 8175967008 |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2018-10-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207PE0005X |
Emergency Medicine Specialization: Undersea and Hyperbaric Medicine |
N0321 | TX | Allopathic & Osteopathic Physicians |
| N | 208M00000X | Hospitalist | N0321 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 203778902 | 05 | |
| TX | LICENSE | N0321 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 730 Eureka St, Weatherford, TX 760866546 | 8175967000 | 8175967008 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972702462 | David S. Nichols | Psychologist | 5107 Ne Couch St, Portland, OR 97213-3021 | 2007-07-13 |
| 1043305220 | David Frank Nichols | Dentist | 4700 Kinsey Drive, Tyler, TX 75703 | 2006-10-04 |
| 1528055449 | David R Nichols | Internal Medicine | 1835 Grant Ave, Nea Clinic, Jonesboro, AR 72403-1960 | 2005-10-05 |
| 1902893993 | David Alan Nichols | Internal Medicine | 284 N Hospital Dr, Ste 2, Price, UT 84501-4235 | 2005-10-04 |
| 1346240314 | David Paul Nichols | Orthopaedic Surgery | 6000 Brockton Dr, Lockport, NY 14094-9273 | 2005-07-29 |
| 1174123640 | David Edward Nichols | Pharmacist | 2351 Century Dr, West Mifflin, PA 15122-2430 | 2020-10-26 |
| 1336762061 | David Michael Nichols | Family Medicine | 700 Hawk Ridge Dr, Hamburg, PA 19526-9219 | 2020-05-28 |
| 1518488014 | David Scott Nichols | Dentist | 521 N 12th St, Richmond, VA 23298-5013 | 2017-07-05 |
| 1306248901 | David Nichols | Social Worker | 2980 S Rainbow Blvd, Las Vegas, NV 89146-6531 | 2014-09-25 |
| 1770832891 | David Nichols | Counselor | 100 Main Street, Suite 203, Boise, ID 83702 | 2012-09-05 |
| Street Address |
2018 PULLIAM ST |
| City | SAN ANGELO |
| State | TX |
| Zip Code | 76905 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588646392 | Shannon Joint Ventures, Inc | Internal Medicine | 2018 Pulliam St, San Angelo, TX 76905-5148 | 2005-11-17 |
| 1508369034 | Greg W Anderson | Nurse Practitioner | 2018 Pulliam St, San Angelo, TX 76905-5148 | 2018-03-12 |
| 1881118693 | Fresenius Kidney Care Concho Valley, LLC | Clinic/Center | 2018 Pulliam St, San Angelo, TX 76905-5148 | 2017-08-02 |
| 1336386028 | Shannon Medical Center | Clinic/Center | 2018 Pulliam St, San Angelo, TX 76905-5148 | 2009-01-16 |
| 1184815342 | Susan C Wilkinson | Clinical Nurse Specialist | 2018 Pulliam St, San Angelo, TX 76905-5148 | 2007-08-05 |
| 1457368367 | Glen Michael Mcferren | Psychiatry & Neurology | 2018 Pulliam St, San Angelo, TX 76905-5148 | 2006-08-02 |
| 1447279351 | Rangarao Chilukuri | Internal Medicine | 2018 Pulliam St, San Angelo, TX 76905-5148 | 2006-07-19 |
| 1710913280 | Jackson Todd Achilles | Psychiatry & Neurology | 2018 Pulliam St, San Angelo, TX 76905-5148 | 2006-06-24 |
| 1235199084 | Shannon Medical Center | Psychiatric Unit | 2018 Pulliam St, San Angelo, TX 76905-5148 | 2006-03-24 |
| 1114987963 | Shannon Medical Center | Skilled Nursing Facility | 2018 Pulliam St, San Angelo, TX 76905-5148 | 2006-03-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639437197 | Richard Yeaton Burnell | Registered Nurse | 2018 Bus Us Highway 67-j, San Angelo, TX 76905 | 2012-05-02 |
| 1568752053 | Lucy Jo Smith | Counselor | 2710 Smith Blvd., San Angelo, TX 76905 | 2011-04-18 |
| 1821204587 | D&s Residential Services | Intermediate Care Facility, Mentally Retarded | 2706 Watson Street, San Angelo, TX 76905 | 2007-05-16 |
| 1770688103 | Alan Keith Carson | Counselor | 218 Pulliam St., San Angelo, TX 76905 | 2006-09-13 |
| 1851992515 | Stacie A Gregg | Nurse Practitioner | 1229 Johnny Ln, San Angelo, TX 76905-2331 | 2020-11-07 |
| 1417340910 | Leslie Ann Rendon | Contractor | 1213 Rita Cir, San Angelo, TX 76905-4201 | 2015-03-09 |
| 1972925295 | Carlos Robledo | Pharmacist | 2626 Smith Blvd, San Angelo, TX 76905-4285 | 2014-01-07 |
| 1376163501 | Megan Elizabeth Barnum | Registered Nurse | 1231 Rita Cir, San Angelo, TX 76905-4292 | 2020-04-17 |
| 1225031446 | Shannon Medical Center | Home Health | 2030 Pulliam St, Ste 6, San Angelo, TX 76905-5157 | 2005-05-23 |
| 1285845214 | Shannon Health Sys Pharmacy Pap | Pharmacy | 2030 Pulliam St Ste 16, San Angelo, TX 76905-5170 | 2007-05-24 |
| Find all providers in zip 76905 | ||||
| Taxonomy Code | 207PE0005X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| Specialization | Undersea and Hyperbaric Medicine |
| A specialist who treats decompression illness and diving accident cases and uses hyperbaric oxygen therapy to treat such conditions as carbon monoxide poisoning, gas gangrene, non-healing wounds, tissue damage from radiation and burns, and bone infections. This specialist also serves as a consultant to other physicians in all aspects of hyperbaric chamber operations, and assesses risks and applies appropriate standards to prevent disease and disability in divers and other persons working in altered atmospheric conditions. |
| Notes: Source: American Board of Emergency Medicine [7/1/2008: source added, additional resources added] Additional Resources: Additional Resources: www.abem.org & American Board of Preventive Medicine www.abprevmed.org |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124102371 | Samuel Joseph Kasberg | Emergency Medicine | 3501 Knickerbocker, San Angelo Community Medical Center, San Angelo, TX 76904-7698 | 2006-10-24 |
| 1093907750 | Samuel J. Kasberg, M.d., P.a. | Emergency Medicine | 3501 Knickerbocker Rd, San Angelo, TX 76904-7610 | 2007-08-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629683602 | Renovo Wound and Hyperbarics Pllc | Emergency Medicine | 5668 Edwards Ranch Road, Suite 101, Fort Worth, TX 76107 | 2020-09-15 |
| 1962013409 | Mauricio Moreno | Emergency Medicine | 3418 Lovers Ln, Dallas, TX 75225-7630 | 2020-08-10 |
| 1780204818 | Memorial Wound Care and Infusion Center | Emergency Medicine | 439 Mason Park Blvd Ste A, Katy, TX 77450-6242 | 2020-04-18 |
| 1508499757 | Wcs Medical Management LLC | Emergency Medicine | 1700 B Rr 620 South, Austin, TX 78734 | 2020-02-17 |
| 1457914186 | Arlington Wound Care and Hyperbaric Center LLC | Emergency Medicine | 1001 W Arbrook Blvd Ste 161, Arlington, TX 76015-4222 | 2019-04-18 |
| 1659854024 | Meddive LLC | Emergency Medicine | 4351 Booth Calloway Rd Ste 410, North Richland Hills, TX 76180-7381 | 2018-09-12 |
| 1548795008 | Southwest Collaborative Healthcare Solutions Pllc | Emergency Medicine | 3270 Joe Battle Blvd Ste 160, El Paso, TX 79938-2658 | 2017-04-21 |
| 1871047738 | Antoine Clinic | Emergency Medicine | 7337 Mchenry St, Houston, TX 77087-3632 | 2016-08-09 |
| 1063853257 | Mir Ali | Emergency Medicine | 27700 Northwest Fwy Ste 170, Cypress, TX 77433-8105 | 2013-07-16 |
| 1013266287 | Noel E Oliveira Md Pa | Emergency Medicine | 5509 Drs Drive, Edinburg, TX 78539 | 2012-09-04 |
| Find all providers with the same taxonomy | ||||
| City | SAN ANGELO |
| Zip Code | 76905 |
Please comment or provide details below to improve the information on DAVID NICHOLS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.