MR. JOHN DANIEL NICHOLAS (NPI# 1245668292) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1245668292 |
Entity Type | Individual |
Full Name | MR. JOHN DANIEL NICHOLAS |
Credential | PA-C |
Practice Address |
4001 Wagon Wheel Rd Springdale AR 72762-0137 |
Practice Telephone | 4797253000 |
Practice Fax Number | 4797253095 |
Mailing Telephone | 4797253000 |
Mailing Fax Number | 4797253095 |
Enumeration Date | 2013-10-29 |
Last Update Date | 2013-10-29 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363A00000X | Physician Assistant | PA-525 | AR | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962636092 | John David Nicholas | Counselor | 300 W Discovery Park Blvd, Safford, AZ 85546-2297 | 2009-05-04 |
1154747608 | John Nicholas | Counselor | 1201 S Proctor St, Tacoma, WA 98405-2047 | 2014-03-07 |
1912928342 | John Nicholas | Dentist | 231 Kinderkamack Rd, Westwood, NJ 07675-2203 | 2006-07-21 |
1558396481 | John Vroundgos Nicholas | Marriage & Family Therapist | 15 Park Dr, San Anselmo, CA 94960-1717 | 2006-07-11 |
1891733036 | John G. Nicholas | Anesthesiology | 1600 Carraway Blvd, Birmingham, AL 35234-1913 | 2006-06-02 |
Street Address |
4001 WAGON WHEEL RD |
City | SPRINGDALE |
State | AR |
Zip Code | 72762-0137 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326149493 | Arkansas Occupational Medicine Services Pa | Specialist | 4001 Wagon Wheel Rd, Springdale, AR 72762-0137 | 2006-09-25 |
1750918660 | Lrae Urainuz Wintercorn | Nurse Practitioner | 4001 Wagon Wheel Rd, Springdale, AR 72762-0137 | 2020-03-23 |
1346899333 | Kacie Larae Felton | Nurse Practitioner | 4001 Wagon Wheel Rd, Springdale, AR 72762-0137 | 2019-09-11 |
1609381276 | Northwest Arkansas Physical Ability Testing Center Pa | Clinic/Center | 4001 Wagon Wheel Rd, Springdale, AR 72762-0137 | 2017-12-05 |
1932552569 | Dalana Rice | Nurse Practitioner | 4001 Wagon Wheel Rd, Springdale, AR 72762-0137 | 2016-07-19 |
1164807111 | Amanda Gail Bell | Nurse Practitioner | 4001 Wagon Wheel Rd, Springdale, AR 72762-0137 | 2015-07-20 |
1518341643 | Arkansas Occupational Health Clinic | Nurse Practitioner | 4001 Wagon Wheel Rd, Springdale, AR 72762-0137 | 2015-07-18 |
1003028820 | Tammy Nez Young | Dietitian, Registered | 4001 Wagon Wheel Rd, Springdale, AR 72762-0137 | 2007-05-04 |
1669695300 | Gary L. Moffitt | Specialist | 4001 Wagon Wheel Rd, Springdale, AR 72762-0137 | 2007-04-11 |
1750402442 | Jonathan Wade Lee | Physical Therapist | 4001 Wagon Wheel Rd, Springdale, AR 72762-0137 | 2007-04-02 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861013443 | Samantha G Abbey | Behavior Technician | 6836 Issac's Orchard Rd, Springdale, AR 72762 | 2020-05-05 |
1598393605 | Highlands Oncology Group Pa | Pharmacy | 3901 Parkway Circle, Springdale, AR 72762 | 2020-04-01 |
1366922320 | Mercy Northwest Arkansas Ambulatory Services LLC | Clinic/Center | 4962 Elm Springs Road, Suite 5, Springdale, AR 72762 | 2018-08-20 |
1790281087 | Cheryl Nikol Treat | Nurse Practitioner | 6801 Isaacs Orchard Rd Ste 211, Springdale, AR 72762 | 2018-04-04 |
1902304876 | Northwest Arkansas Physical Ability Testing Center, P.a. | Clinic/Center | 4001 Wagon Wheel Road, Springdale, AR 72762 | 2018-01-25 |
1609387612 | Rodriguez Dentistry Pllc | Dentist | 1521 Executive Place, Suite A, Springdale, AR 72762 | 2017-10-17 |
1306370630 | Medworks LLC | Internal Medicine | 986 Elmwood, Suite C, Springdale, AR 72762 | 2017-04-13 |
1790223006 | Sam's West, Inc. | Technician/Technologist | 1517 Gene George Blvd, Springdale, AR 72762 | 2017-02-07 |
1255875746 | Arkansas Childrens Northwest, Inc. | General Acute Care Hospital | 2601 South 56th Street, Springdale, AR 72762 | 2016-12-19 |
1114473261 | Whitney E Mix | Counselor | 1672 South 48th Street, Suite B, Springdale, AR 72762 | 2016-08-29 |
Find all providers in zip 72762 |
Taxonomy Code | 363A00000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720691678 | Laura T Bailey Aprn Pllc | Physician Assistant | 5320 W Sunset Ave Ste 176, Springdale, AR 72762-4415 | 2020-08-28 |
1548504327 | Jill S Harlan | Physician Assistant | 1085 Butler Rd, Springdale, PA 15144-1042 | 2012-11-19 |
1275168643 | Tommye Jones | Physician Assistant | 5501 Willow Creek Dr Ste 203b, Springdale, AR 72762-8708 | 2020-03-06 |
1508348798 | Jessica Annelise Brown | Physician Assistant | 3057 Springdale Ave, Springdale, AR 72762-4346 | 2018-09-04 |
1508362245 | Nathan Beckley Warren | Physician Assistant | 609 W Maple Ave, Springdale, AR 72764-5335 | 2018-04-02 |
1801333174 | Kristina Davis | Physician Assistant | 6823 Isaacs Orchard Rd, Springdale, AR 72762-6096 | 2017-01-25 |
1063878387 | Wesley Mcgehee | Physician Assistant | 2601 Gene George Blvd, Springdale, AR 72762-0845 | 2016-01-04 |
1336533140 | Anne Sheen | Physician Assistant | 1160 S 40th St, Springdale, AR 72762-4832 | 2015-03-19 |
1386058543 | Iftakhar Ahmad Sheikh | Physician Assistant | 609 W Maple Ave, Springdale, AR 72764-5335 | 2014-06-16 |
1780010546 | Tanner C Mcginty | Physician Assistant | 609 W Maple Ave, Springdale, AR 72764-5335 | 2013-09-24 |
Find all providers in SPRINGDALE |
City | SPRINGDALE |
Zip Code | 72762 |
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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.