GARY NICHOLS (NPI# 1033201587) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1033201587 |
Entity Type | Individual |
Full Name | GARY NICHOLS |
Credential | M.D. |
Practice Address |
2455 Summerfield Rd Santa Rosa CA 95405 |
Mailing Address |
325 Distel Cir Los Altos CA 94022-1408 |
Practice Telephone | 7073082815 |
Practice Fax Number | 7075735439 |
Mailing Telephone | 7073082815 |
Mailing Fax Number | 7075735439 |
Enumeration Date | 2006-09-29 |
Last Update Date | 2019-07-10 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207R00000X | Internal Medicine | G73872 | CA | Allopathic & Osteopathic Physicians |
N | 207RH0000X |
Internal Medicine Specialization: Hematology |
181851 | CA | Allopathic & Osteopathic Physicians |
N | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
181851 | CA | Allopathic & Osteopathic Physicians |
N | 207RX0202X |
Internal Medicine Specialization: Medical Oncology |
181851 | CA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
PTAN | CP059Z | 01 | |
CA | STATE MEDICAL LICENSE | G73872 | 01 |
Address | Telephone Number | Fax Number |
---|---|---|
3883 Airway Dr, Suite 201, Santa Rosa, CA 954031670 | 7075218900 | 7075231309 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528314713 | Gary W Nichols | Counselor | 5150 E Stop 11 Rd Ste 10, Indianapolis, IN 46237-8629 | 2012-07-25 |
1437140357 | Gary Dale Nichols | Physician Assistant | 16th Street, Ctmc, Bldg 885, Fort Leonard Wood, MO 65473 | 2005-10-31 |
1316936156 | Gary Glenn Nichols | Physician Assistant | 1404 Willow Ln, North Wilkesboro, NC 28659-3584 | 2005-10-14 |
1477580132 | Gary Lee Nichols | Social Worker | 3250 Zemke Ave, Tampa, FL 33621-5023 | 2006-06-27 |
1386612141 | Gary E. Nichols | Pediatrics | 2855 Campus Dr, #350, Plymouth, MN 55441-2649 | 2006-03-09 |
1891781803 | Gary A Nichols | Family Medicine | 3 E Benjamin Dr, New Martinsville, WV 26155-2705 | 2005-09-26 |
Street Address |
2455 SUMMERFIELD RD |
City | SANTA ROSA |
State | CA |
Zip Code | 95405 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538167226 | Wendy A Williams | Physician Assistant | 2455 Summerfield Rd, Santa Rosa, CA 95405-7815 | 2005-07-07 |
1538688858 | Christine E Silano | Nurse Practitioner | 2455 Summerfield Rd, Santa Rosa, CA 95405 | 2017-09-18 |
1760764641 | Julia L. Leonardi-holzapfel | Social Worker | 2455 Summerfield Rd, Santa Rosa, CA 95405 | 2011-09-15 |
1134446875 | Charlotte Mary Carlson | Internal Medicine | 2455 Summerfield Rd, Santa Rosa, CA 95405-7815 | 2010-04-20 |
1598889636 | Sutter Medical Group of The Redwoods | Family Medicine | 2455 Summerfield Rd, Santa Rosa, CA 95405-7815 | 2007-03-16 |
1144281635 | Gary Neal Furness | Family Medicine | 2455 Summerfield Rd, Santa Rosa, CA 95405-7815 | 2006-04-01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083230486 | Lizett Camacho | Counselor | 145o Neotomas Avenue Suite 200, Santa Rosa, CA 95405 | 2020-06-22 |
1346768918 | Ingrid Tsong | Student in an Organized Health Care Education/Training Program | 3447 Summerfield Road, Santa Rosa, CA 95405 | 2017-09-05 |
1275051898 | Jessica Peters Malmberg | Student in an Organized Health Care Education/Training Program | 2447 Summerfield Rd, Santa Rosa, CA 95405 | 2017-09-04 |
1306246772 | Kirsten Eckert | Advanced Practice Midwife | 500 Doyle Park Dr Suite 103, Santa Rosa, CA 95405 | 2014-09-03 |
1982034294 | Mohammad Reza Saeidi | Dentist | 1820 Sonoma Ave Ste 90a, Santa Rosa, CA 95405 | 2013-11-22 |
1851631642 | Debi M. Emmons | Marriage & Family Therapist | 2447 Summerfield Dr, Social Advocates for Youth, Santa Rosa, CA 95405 | 2013-02-15 |
1841549979 | Karie Louise Klim | Marriage & Family Therapist | 182 Farmers Ln Ste 204, Santa Rosa, CA 95405 | 2012-09-05 |
1427314400 | Rachel E. Page | Counselor | 2447 Summerfield Rd., Santa Rosa, CA 95405 | 2012-04-04 |
1689991572 | Center for Integral Healing Inc. | Community Health Worker | 182 Farmers Lane, #203, Santa Rosa, CA 95405 | 2010-04-30 |
1588997647 | Kai Morgan | Dentist | 1144 Suite 116 Soonoma Ave, Santa Rosa, CA 95405 | 2009-09-08 |
Find all providers in zip 95405 |
Taxonomy Code | 207R00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922640820 | Northern California Medical Assoc Inc | Internal Medicine | 830 2nd St Ste A, Santa Rosa, CA 95404-4620 | 2019-10-11 |
1457613275 | Shelleen E. Denno, Md, Inc. | Internal Medicine | 2285 Olivet Ln, Santa Rosa, CA 95401-3860 | 2012-06-08 |
1043509920 | Ann Katz Press | Internal Medicine | 30 Mark West Springs Rd Ofc, Santa Rosa, CA 95403-1436 | 2011-03-31 |
1376786947 | Jaya Reddy Mallidi | Internal Medicine | 500 Doyle Park Dr Ste G05, Santa Rosa, CA 95405-4555 | 2009-04-13 |
1003072851 | Sutter Medical Group of The Redwoods | Internal Medicine | 4725a Hoen Ave, Santa Rosa, CA 95405-7862 | 2008-07-31 |
1639355266 | North Coast Hospitalist, PC | Internal Medicine | 122 Calistoga Rd, 305, Santa Rosa, CA 95409-3702 | 2008-01-14 |
1932388659 | Jennifer Nguyen Hubert, D.o., Inc | Internal Medicine | 1014 Hopper Ave, # 615, Santa Rosa, CA 95403-1613 | 2007-10-30 |
1144412560 | Zeyad Hashem Kanaan | Internal Medicine | 3883 Airway Dr Ste 220, Santa Rosa, CA 95403 | 2007-08-10 |
1447451935 | Todd Jay Hofeling | Internal Medicine | 3883 Airway Dr Ste 130, Santa Rosa, CA 95403 | 2007-05-30 |
1932244779 | John Mcdougall | Internal Medicine | 2777 4th St, Santa Rosa, CA 95405-4795 | 2007-02-20 |
Find all providers in SANTA ROSA |
City | SANTA ROSA |
Zip Code | 95405 |
Please comment or provide details below to improve the information on GARY 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.