DR. WESLEY SCOTT NICKENS (NPI# 1043405913) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043405913 |
| Entity Type | Individual |
| Full Name | DR. WESLEY SCOTT NICKENS |
| Credential | M.D. |
| Practice Address |
603 Quail Creek Dr Spc 300 Amarillo TX 79124 |
| Mailing Address |
1616 S Kentucky St Ste B100 Amarillo TX 79102-2224 |
| Practice Telephone | 8063508980 |
| Practice Fax Number | 8063507573 |
| Mailing Telephone | 8063589400 |
| Mailing Fax Number | 8063550134 |
| Enumeration Date | 2007-09-12 |
| Last Update Date | 2020-08-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | N2217 | TX | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1901 Medi Park Dr, Suite 200, Amarillo, TX 791062110 | 8063536700 | 8063536707 |
| 4514 Cornell St Ste B, Amarillo, TX 791095801 | 8063507807 |
| Street Address |
603 QUAIL CREEK DR SPC 300 |
| City | AMARILLO |
| State | TX |
| Zip Code | 79124 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770125239 | Fmc Medical Foundation, Inc | Family Medicine | 603 Quail Creek Dr Spc 300, Amarillo, TX 79124-1647 | 2019-10-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144793357 | Bushland Drug, LLC | Pharmacy | 1600 S. Fm 2381, Amarillo, TX 79124 | 2019-01-10 |
| 1134691017 | Linda Darlene Podzemny | Counselor | 5250 Cliffside Road, Amarillo, TX 79124 | 2018-12-17 |
| 1356831721 | Amarillo Vii Enterprises, LLC | Skilled Nursing Facility | 1625 Point West Parkway, Amarillo, TX 79124 | 2018-05-11 |
| 1770092066 | Ama Ruby Slippers Care Inc | Home Health | 2300 N Western, Amarillo, TX 79124 | 2017-09-29 |
| 1164948451 | Saturnino Cogefar Salera | Nurse Practitioner | 203 Banks Dr, Amarillo, TX 79124 | 2017-08-17 |
| 1841714854 | Nathaniel Ryan Arismendez | Physical Therapist | 6900 John David Circle, Amarillo, TX 79124 | 2017-08-01 |
| 1811387368 | Aua Surgical Center, LLC | Clinic/Center | 8207 West Amarillo Blvd, Amarillo, TX 79124 | 2015-02-04 |
| 1053670349 | Melissa Suzanne Jones | Nurse Practitioner | 24 Care Cirlce, Amarillo, TX 79124 | 2012-05-08 |
| 1811172422 | Ammar Jarrous Md Pa | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 6810 Plum Creek, Amarillo, TX 79124 | 2008-01-02 |
| 1053437590 | Assisted Living Concepts Inc | Assisted Living Facility | 6800 Plum Creek Drive, Amarillo, TX 79124 | 2007-03-22 |
| Find all providers in zip 79124 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760949200 | Joy Medical Clinic Pllc | Family Medicine | 4310 S Western St Unit E, Amarillo, TX 79109-6036 | 2019-02-20 |
| 1679929723 | Megan Maguire Marshall Scott | Family Medicine | Regence Health Network, 3113 Ross St., Amarillo, TX 79103 | 2016-05-08 |
| 1013276088 | Fmc Medical Foundation, Inc. | Family Medicine | 7306 Sw 34th Ave, Unit 4, Amarillo, TX 79121-1423 | 2012-05-11 |
| 1629364435 | Sarah Christine Lozano | Family Medicine | 1900 S Coulter St Ste A, Amarillo, TX 79106-1785 | 2011-06-21 |
| 1508151309 | Anastacia J Nix | Family Medicine | 2329 Ross Osage St, Amarillo, TX 79103 | 2011-06-09 |
| 1932350550 | Preventative Healthcare Institute, LLC | Family Medicine | 1920 Medi Park Dr Ste 2, Amarillo, TX 79106-2111 | 2008-10-01 |
| 1750562450 | Drs. Stout & Cotton | Family Medicine | 2300 W 7th Ave, Amarillo, TX 79106-6623 | 2007-11-21 |
| 1861689572 | Cristiane Campos Ennis | Family Medicine | 1901 Medi Park Dr 103, Amarillo, TX 79106-2106 | 2007-09-26 |
| 1336360452 | Earl C. Hoffer | Family Medicine | Pantex Plant Fm 2373 At Hwy 60, Amarillo, TX 79120 | 2007-05-02 |
| 1255465357 | Marc Henson, M.d., P.a. | Family Medicine | 1901 Medi-park Dr, Suite 25, Amarillo, TX 79106 | 2007-03-14 |
| Find all providers in AMARILLO | ||||
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| 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.