CRAIG RANDAL NICHOLS (NPI# 1295743730) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295743730 |
| Entity Type | Individual |
| Full Name | CRAIG RANDAL NICHOLS |
| Credential | MD |
| Practice Address |
5131 S Cottonwood St Murray UT 84107-5701 |
| Mailing Address |
Po Box 27128 Salt Lake City UT 84127-0128 |
| Practice Telephone | 8015073800 |
| Mailing Telephone | 8015073800 |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2016-02-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
MD00038184 | WA | Allopathic & Osteopathic Physicians |
| Y | 207RX0202X |
Internal Medicine Specialization: Medical Oncology |
9586855-1205 | UT | Allopathic & Osteopathic Physicians |
| N | 207RX0202X |
Internal Medicine Specialization: Medical Oncology |
MD21496 | OR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 159046 | 05 | |
| WA | 8233512 | 05 | |
| WA | 1295743730 | 05 | |
| WA | LABOR AND INDUSTRY | 0276491 | 01 |
| Street Address |
5131 S COTTONWOOD ST |
| City | MURRAY |
| State | UT |
| Zip Code | 84107-5701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568412179 | Jenny L. Jones | Nurse Practitioner | 5131 S Cottonwood St, # L-2, Murray, UT 84107-5701 | 2006-05-12 |
| 1568976579 | Andrew James Aloia | Nurse Practitioner | 5131 S Cottonwood St, Murray, UT 84107-5701 | 2017-11-29 |
| 1841621463 | Shelby Tsu | Physical Therapy Assistant | 5131 S Cottonwood St, Murray, UT 84107-5701 | 2013-12-07 |
| 1972776342 | Grant Kirton Hunter | Radiology | 5131 S Cottonwood St, Murray, UT 84107-5701 | 2008-04-08 |
| 1699869479 | Jane Ellen Macpherson | Family Medicine | 5131 S Cottonwood St, L-2, Murray, UT 84107-5701 | 2006-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902410517 | Brielle Nicole Poulter | Student in an Organized Health Care Education/Training Program | 345 East 4500 So #260, Murray, UT 84107 | 2020-09-01 |
| 1467016592 | Ashlee Brown | Social Worker | C-134, 5284 Commerce Drive, Murray, Murray, UT 84107 | 2019-04-24 |
| 1568940633 | Samantha Duff | Occupational Therapist | 5770 S Fashion Blvd, Bldg 5 Ste 201, Murray, UT 84107 | 2018-08-01 |
| 1881185247 | Derek John Sharp | Occupational Therapist | 5770 S Fashion Blvd, Bldg #5, Suite 210, Murray, UT 84107 | 2018-05-22 |
| 1093223091 | Erin Nicole Hill | Counselor | 345 East 4500 South Suite 260, Murray, UT 84107 | 2018-01-12 |
| 1588171219 | Nicole Danielle Jensen | Counselor | 345 East 4500 South, Suite 260, Murray, UT 84107 | 2018-01-03 |
| 1043725799 | Greater Endodontics LLC | Dentist | 5334 South Woodrow Street, Suite 201, Salt Lake City, UT 84107 | 2017-12-04 |
| 1043739667 | Karyn K Hodge | Audiologist | 4500 So. 777. E. Ste #110, Murray, UT 84107 | 2017-09-14 |
| 1912426750 | Brandon C Burton | Specialist/Technologist, Other | Cta Community Supports 4444 S, 700 E Suite 203, Salt Lake City, UT 84107 | 2017-09-13 |
| 1396261152 | Megan Lehane Delano | Plastic Surgery | 5169 Cottonwood St Ste 420, Murray, UT 84107 | 2017-08-14 |
| Find all providers in zip 84107 | ||||
| Taxonomy Code | 207RX0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Medical Oncology |
| An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source. 11/5/2007: corrected definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649698697 | David Michael Gill | Internal Medicine | 5121 S Cottonwood St Ste 610, Murray, UT 84107-5701 | 2014-04-06 |
| 1841741220 | Ihc Health Services Inc | Internal Medicine | 5121 S Cottonwood St, Ste 610, Murray, UT 84107-5701 | 2016-10-20 |
| 1003924804 | Mehdi Ahmadi Murray Oncology Associates | Internal Medicine | 204 S 9th St, Suite A, Murray, KY 42071-2409 | 2006-08-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073875308 | Mei Wei | Internal Medicine | 201 Presidents Cir, Salt Lake City, UT 84112-9049 | 2012-06-12 |
| 1235556382 | Bradley Hunter | Internal Medicine | 8th Ave and C Street, Salt Lake City, UT 84143-0001 | 2014-03-26 |
| 1679867477 | Health Services Inc | Internal Medicine | 8 Th Avenue & C St, Salt Lake City, UT 84143-0001 | 2011-06-09 |
| 1831480771 | Conan Grant Kinsey | Internal Medicine | 2000 Circle of Hope, Salt Lake City, UT 84112 | 2011-04-26 |
| 1124253166 | Richard Arden Johnson | Internal Medicine | 1350 N 500 E, Logan, UT 84341 | 2009-05-20 |
| 1871734038 | Catherine Joy Lee | Internal Medicine | 1950 Circle of Hope Dr, Salt Lake City, UT 84112-5500 | 2009-03-18 |
| 1467608554 | Ignacio Garrido-laguna | Internal Medicine | 1950 Circle of Hope, Clinic 1a, Salt Lake City, UT 84112-5500 | 2008-08-08 |
| 1083827455 | Kenneth Frederick Grossmann | Internal Medicine | 2000 Circle of Hope, Clinic 2b, Salt Lake City, UT 84112-5550 | 2007-05-08 |
| 1568547255 | Saundra S Buys | Internal Medicine | 1950 Circle of Hope, Clinic 3a, Salt Lake City, UT 84112-5550 | 2006-10-25 |
| 1346330966 | Wallace Lovell Akerley IIi | Internal Medicine | 1950 Circle of Hope, Clinic 1a, Salt Lake City, UT 84112-5500 | 2006-10-13 |
| Find all providers with the same taxonomy | ||||
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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.