CHAD L. NICHOLS (NPI# 1306933189) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306933189 |
| Entity Type | Individual |
| Full Name | CHAD L. NICHOLS |
| Credential | PA-C |
| Practice Address |
5200 E I 240 Service Rd Oklahoma City OK 73135-2607 |
| Practice Telephone | 4056286000 |
| Practice Fax Number | 4056286792 |
| Mailing Telephone | 4056286000 |
| Mailing Fax Number | 4056286792 |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2017-02-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 990 | OK | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA03727 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 100108590A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174835698 | Chad Nichols | Physical Therapy Assistant | 4109 Highway 98 W, Summit, MS 39666-9132 | 2010-07-13 |
| Street Address |
5200 E I 240 SERVICE RD |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73135-2607 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457311474 | Mark D Olbert | Radiology | 5200 E I 240 Service Rd, Oklahoma City, OK 73135-2607 | 2006-03-24 |
| 1225642713 | Catherine Eugenia Bardeaux | Dietitian, Registered | 5200 E I 240 Service Rd, Oklahoma City, OK 73135-2607 | 2020-09-02 |
| 1548881188 | Mindy Erickson | Speech-Language Pathologist | 5200 E I 240 Service Rd, Oklahoma City, OK 73135-2610 | 2020-05-06 |
| 1407416522 | Tericka Small | Nurse Practitioner | 5200 E I 240 Service Rd, Oklahoma City, OK 73135-2610 | 2019-06-20 |
| 1467937417 | Angela Kristine Ama | Nurse Practitioner | 5200 E I 240 Service Rd, Oklahoma City, OK 73135 | 2018-09-26 |
| 1255816286 | Kailee Ann Anderson | Registered Nurse | 5200 E I 240 Service Rd, Oklahoma City, OK 73135-2607 | 2018-09-25 |
| 1255790333 | Mark D. Olbert M.d., Pllc | Radiology | 5200 E I 240 Service Rd, Oklahoma City, OK 73135-2607 | 2016-02-17 |
| 1356743991 | Joseph A Andrezik, M.d., Pllc | Radiology | 5200 E I 240 Service Rd, Oklahoma City, OK 73135-2607 | 2014-09-25 |
| 1699064469 | Vesna Kalanj | Nurse Practitioner | 5200 E I 240 Service Rd, Oklahoma City, OK 73135-2607 | 2011-04-01 |
| 1003127952 | Ohh Physicians South, LLC | Psychologist | 5200 E I 240 Service Rd, Oklahoma City, OK 73135-2607 | 2010-06-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770182065 | Ifeoluwa Ochuwa Idode | Case Manager/Care Coordinator | 8135 Bigwood Drive, Oklahoma City, OK 73135 | 2020-10-19 |
| 1295359248 | Optimum Complete Care, Pllc | Emergency Medicine | 5200 E. Interstate 240 Service Rd., Oklahoma City, OK 73135 | 2020-06-05 |
| 1649802117 | Everest Rehabilitation Hospital Okc, LLC | Rehabilitation Hospital | 7900 Midamerica Blvd, Oklahoma City, OK 73135 | 2020-02-12 |
| 1225592496 | Crimson Spire Pharmacy | Pharmacy | 5600 S.e. 67 Str, Suite A, Okc, OK 73135 | 2019-01-22 |
| 1285174201 | Yizhen Elizabeth Liu | Student in an Organized Health Care Education/Training Program | 1040, 7050 S Air Depot Blvd, Tinker Afb, OK 73135 | 2017-02-24 |
| 1891149647 | Daniel Enriquez | General Practice | 1040 7050 S Air Depot Blvd, Oklahoma City, OK 73135 | 2016-04-18 |
| 1215302641 | Darryl English II | Case Management | 4328 S.e. 46th Street Apt#160, Oklahoma City, OK 73135 | 2015-12-10 |
| 1063838639 | Charles Lloyd Wilson | Hospitalist | Mercy South, 5200 E I-240 Service Road, Oklahoma City, OK 73135 | 2014-03-06 |
| 1669809877 | Bodyworx Physical Therapy, Pllc | Physical Therapist | 5617 S. E. 67th Street, Oklahoma City, OK 73135 | 2013-10-02 |
| 1578815262 | Kenyatta Lampley | Behavioral Analyst | 5712 Se 86th, Oklahoma City, OK 73135 | 2012-10-05 |
| Find all providers in zip 73135 | ||||
| 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 |
|---|---|---|---|---|
| 1013517168 | Madeleine Hill | Physician Assistant | 5304 N Hudson Ave, Oklahoma City, OK 73118-6232 | 2020-10-28 |
| 1003414673 | Stephanie Ann Stephens | Physician Assistant | 5021 Eric Dr, Oklahoma City, OK 73135-4129 | 2020-10-15 |
| 1336786557 | Chad Tiaden | Physician Assistant | 940 Ne 13th St Ste 2300, Oklahoma City, OK 73104-5008 | 2019-12-06 |
| 1588209837 | Kathryn Lynn Lane | Physician Assistant | 737 Sw 157th St, Oklahoma City, OK 73170-7688 | 2019-11-11 |
| 1760025845 | Robert Eugene Curling | Physician Assistant | 3435 Nw 56th St Ste 909, Oklahoma City, OK 73112-4400 | 2019-10-22 |
| 1740831486 | Aliina Ann O'toole | Physician Assistant | 1200 Childrens Ave Ste 8305, Oklahoma City, OK 73104-4637 | 2019-09-24 |
| 1093375271 | Alison Suezan Barton | Physician Assistant | 13401 N Western Ave Ste 210, Oklahoma City, OK 73114-1410 | 2019-06-19 |
| 1376100750 | Katelyn Taylor Bant | Physician Assistant | 6001 S Sooner Rd, Ste A, Oklahoma City, OK 73135-5601 | 2019-05-21 |
| 1538726997 | Mariah Paige Melton | Physician Assistant | 4400 Hemingway Dr Apt 251, Oklahoma City, OK 73118-2241 | 2019-05-21 |
| 1336703123 | Soni Simer | Physician Assistant | 11601 Kingswick Dr, Oklahoma City, OK 73162-2918 | 2019-04-26 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73135 |
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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.