DR. PATRICIA NICHOLAS (NPI# 1174587075) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174587075 |
| Entity Type | Individual |
| Full Name | DR. PATRICIA NICHOLAS |
| Credential | D.P.M. |
| Practice Address |
12670 Creekside Ln Ste 202 Fort Myers FL 33919-3370 |
| Practice Telephone | 2394822663 |
| Mailing Telephone | 2394822663 |
| Mailing Fax Number | 2394857585 |
| Enumeration Date | 2006-04-17 |
| Last Update Date | 2018-12-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | PO3946 | FL | Podiatric Medicine & Surgery Service Providers |
| N | 213E00000X | Podiatrist | N005499 | NY | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01904470 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417998683 | Patricia M Nicholas | Nurse Anesthetist, Certified Registered | 640 Jackson Street, Mail Stop 13901c, St Paul, MN 55101 | 2006-06-09 |
| Street Address |
12670 CREEKSIDE LN STE 202 |
| City | FORT MYERS |
| State | FL |
| Zip Code | 33919-3370 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225562655 | Gregory Alan Foote | Podiatrist | 12670 Creekside Ln Ste 202, Fort Myers, FL 33919-3370 | 2017-04-12 |
| 1710439807 | Shawn M Mcguyrt | Nurse Practitioner | 12670 Creekside Ln Ste 202, Fort Myers, FL 33919-3370 | 2016-10-25 |
| 1649629817 | Michael Corry Ringwood | Podiatrist | 12670 Creekside Ln Ste 202, Fort Myers, FL 33919-3370 | 2016-06-08 |
| 1326465477 | Jaclyn Gorovoy Holt | Physical Medicine & Rehabilitation | 12670 Creekside Ln Ste 202, Fort Myers, FL 33919-3370 | 2014-03-26 |
| 1396189858 | George Ibrahim Soliman | Pain Medicine | 12670 Creekside Ln Ste 202, Fort Myers, FL 33919 | 2013-04-26 |
| 1376868026 | Alicia F Cowan | Orthopaedic Surgery | 12670 Creekside Ln Ste 202, Fort Myers, FL 33919 | 2010-04-06 |
| 1689769283 | Diane Louise Sarsfield | Nurse Practitioner | 12670 Creekside Ln Ste 202, Fort Myers, FL 33919-3370 | 2006-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073145942 | Patricia June Briand | Registered Nurse | 4309 Mariner Way #307, Fort Myers, FL 33919 | 2020-02-10 |
| 1629556840 | The Onyx Counseling Center, LLC | Social Worker | 6361 Presidential Ct Ste 101, Fort Myers, FL 33919 | 2018-07-31 |
| 1366980187 | My Precious Kids Therapy Center Inc | Community/Behavioral Health | 4755 Summerlin Road, Suite #4, Fort Myers, FL 33919 | 2017-02-01 |
| 1811342397 | Kimberly Regenesis | Substance Abuse Rehabilitation Facility | 8695 College Parkway, Suite 2080, Ft Myers, FL 33919 | 2016-05-03 |
| 1689030207 | Balance for All, Inc. | Acupuncturist | 6238 Presidential Ct., Ste 6, Fort Myers, FL 33919 | 2016-01-12 |
| 1902275217 | Kelly Jean Overton | Physical Therapist | 6341 Whiskey Creek Drive, Fort Myers, FL 33919 | 2015-09-16 |
| 1508125311 | Charles Clark Dugan IIi | Chiropractor | 6309 Corporate Court, Suite 110, Fort Myers, FL 33919 | 2012-05-14 |
| 1659641231 | Dasha Bich Le | Pharmacist | 9629 Bay Harbor Cir., Apt. 201, Fort Myers, FL 33919 | 2012-01-12 |
| 1164792602 | Gail Lee Rathbun | Nurse Practitioner | 6311 S. Pointe Blvd., Fort Meyers, FL 33919 | 2011-12-30 |
| 1871878173 | Scott Kozlowski | Behavioral Analyst | 5335 Shalley Cir., Ft. Myers, FL 33919 | 2011-10-18 |
| Find all providers in zip 33919 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437248648 | Brian K Doerr Dpm Pa | Podiatrist | 14391 Metropolis Avenue, Suite 103, Fort Myers, FL 33912 | 2006-10-12 |
| 1093729592 | Jeffrey Eric Kleiman | Podiatrist | 8350 Riverwalk Park Blvd Ste 1, Fort Myers, FL 33919-8759 | 2006-07-28 |
| 1073536207 | Howard M Imanuel Dpm Pa | Podiatrist | 13681 Metropolis Ave, Fort Myers, FL 33912-4318 | 2006-07-26 |
| 1780665869 | Lori Lynn Finn | Podiatrist | 13761 Mcgregor Blvd, Fort Myers, FL 33919-6120 | 2005-11-07 |
| 1295722080 | Mark E Weaver | Podiatrist | 1645 Colonial Blvd, Fort Myers, FL 33907-1101 | 2005-10-05 |
| 1750381190 | Howard M Imanuel | Podiatrist | 8851 Boardroom Cir, Fort Myers, FL 33919-4888 | 2005-07-28 |
| 1194725002 | Foot & Ankle Group of Southwest Florida, Pa | Podiatrist | 5238 Mason Corbin Ct, Suite 102, Fort Myers, FL 33907-7738 | 2005-07-21 |
| 1700339108 | Axel Podiatry Services LLC | Podiatrist | 3050 Champion Ring Rd, Fort Myers, FL 33905-5599 | 2016-08-02 |
| 1578820700 | Mark E Weaver, Dpm | Podiatrist | 1645 Colonial Blvd, Fort Myers, FL 33907-1101 | 2012-04-12 |
| 1184807745 | Southwest Independent Practice Assoc | Podiatrist | 5238 Mason Corbin Ct, Suite 102, Fort Myers, FL 33907-7738 | 2007-12-06 |
| Find all providers in FORT MYERS | ||||
| City | FORT MYERS |
| Zip Code | 33919 |
Please comment or provide details below to improve the information on DR. PATRICIA NICHOLAS.
| 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.