MATHEW A NICHOLLS (NPI# 1336180413) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336180413 |
| Entity Type | Individual |
| Full Name | MATHEW A NICHOLLS |
| Credential | MD |
| Practice Address |
11695 Ne 4th St Bellevue WA 98004-5268 |
| Mailing Address |
1100 9th Ave M4-pfs Seattle WA 98101-2756 |
| Practice Telephone | 4256371855 |
| Mailing Telephone | 2065155811 |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2020-07-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | MD60713968 | WA | Allopathic & Osteopathic Physicians |
| N | 207X00000X | Orthopaedic Surgery | 36058 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | AETNA | 7995543 | 01 |
| KY | BCBS | 0000000335141 | 01 |
| KY | 64077316 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1780 Nicholasville Rd, Ste 501, Lexington, KY 405031400 | 8592783481 | 8592777365 |
| Street Address |
11695 NE 4TH ST |
| City | BELLEVUE |
| State | WA |
| Zip Code | 98004-5268 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033684428 | Hana Kahn | Nurse Practitioner | 11695 Ne 4th St, Bellevue, WA 98004-5268 | 2018-10-11 |
| 1457898769 | Krista Van Dam | Physician Assistant | 11695 Ne 4th St, Bellevue, WA 98004-5268 | 2017-01-24 |
| 1013319854 | Laura R Wendzich | Physician Assistant | 11695 Ne 4th St, Bellevue, WA 98004-5268 | 2014-09-24 |
| 1750792982 | David John Schneider | Pediatrics | 11695 Ne 4th St, Bellevue, WA 98004-5268 | 2014-05-09 |
| 1699119925 | Kaori Yoshida | Internal Medicine | 11695 Ne 4th St, Bellevue, WA 98004-5268 | 2013-04-17 |
| 1356784755 | Stephen J Kaplan | Surgery | 11695 Ne 4th St, Bellevue, WA 98004-5268 | 2013-04-16 |
| 1043502552 | Helen Shih | Internal Medicine | 11695 Ne 4th St, Bellevue, WA 98004-5268 | 2011-05-03 |
| 1780867200 | Sumita Rao | Physical Therapist | 11695 Ne 4th St, Bellevue, WA 98004-5268 | 2007-12-06 |
| 1427258797 | Edward M Esparza | Dermatology | 11695 Ne 4th St, Bellevue, WA 98004-5268 | 2007-07-24 |
| 1417091075 | Christine M Pineda-liu | Internal Medicine | 11695 Ne 4th St, Bellevue, WA 98004-5268 | 2007-02-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306458328 | Geneva Paula Hoskins-dorsey | Nurse Practitioner | 11120 Ne 33rd Place, Suite 202, Bellevue, WA 98004 | 2020-08-20 |
| 1720553613 | Christine Eyler | Pediatrics | Bellevue Pediatrics, C & C Medical Associates, 1940 116th Ave Ne, Ste 200, Bellevue, WA 98004 | 2018-10-08 |
| 1437634730 | Hazelden Betty Ford Foundation | Clinic/Center | 1231 116th Ave. Ne Suite 410, Bellevue, WA 98004 | 2018-10-02 |
| 1356827828 | Seattle Spine Group, Pllc | Orthopaedic Surgery | 1220 116th Ave Ne Ste 102, Bellevue, WA 98004 | 2018-07-17 |
| 1669989216 | Atsuko Nakajima | Acupuncturist | 2223 112th Ave. Ne, Ste 201, Bellevue, WA 98004 | 2018-01-04 |
| 1740794718 | Radka Chapin Counseling, LLC | Clinic/Center | 1611 116th Ave Ne Ste 119, Bellevue, WA 98004 | 2017-11-28 |
| 1962912105 | Cuyler Ann Simmons | Counselor | 3805 108th Ave Ne Ste 204, Bellevue, WA 98004 | 2017-10-02 |
| 1639690357 | Nicolas Lopez-montalvo | Behavioral Analyst | 3003 Northup Way Suite 200, Bellevue, WA 98004 | 2017-07-03 |
| 1124579537 | Matthew Thomas Haley | Pharmacist | 107 Bellevue Way, Se, Bellevue, WA 98004 | 2016-10-20 |
| 1649727348 | Kelsey Tanaka | Nurse Practitioner | 400- 108th Ave Ne, Suite 100, Bellevue, WA 98004 | 2016-09-10 |
| Find all providers in zip 98004 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356827828 | Seattle Spine Group, Pllc | Orthopaedic Surgery | 1220 116th Ave Ne Ste 102, Bellevue, WA 98004 | 2018-07-17 |
| 1225376684 | William Furrer Jr. | Orthopaedic Surgery | 12603 Ne 36th Pl, Bellevue, WA 98005-1329 | 2013-01-19 |
| 1558525659 | Melvin D Levine | Orthopaedic Surgery | 3315 126th Ave Ne, Bellevue, WA 98005-1363 | 2008-07-17 |
| 1770783607 | Christopher R Boone | Orthopaedic Surgery | 1231 116th Ave Ne Ste 750, Bellevue, WA 98004 | 2007-07-19 |
| 1720102783 | Paul Herbert Reiss | Orthopaedic Surgery | 9820 Ne 20th St, Bellevue, WA 98004-2601 | 2007-03-16 |
| 1306903737 | Charles Nelson Brooks | Orthopaedic Surgery | 18 Cascade Key, Bellevue, WA 98006-1002 | 2007-01-03 |
| 1114003837 | Thomas E Trumble | Orthopaedic Surgery | 1200 112th Ave Ne Ste C210, Bellevue, WA 98004 | 2006-10-27 |
| 1831137892 | Pierce Edward Scranton Jr. | Orthopaedic Surgery | 4455 148th Ave Ne, Bellevue, WA 98007-3120 | 2006-06-03 |
| 1639696503 | Bellevue Hand Surgery | Orthopaedic Surgery | 1200 112th Ave Ne Ste C210, Bellevue, WA 98004 | 2017-08-23 |
| 1669909909 | Md West One, PC | Orthopaedic Surgery | 2510 Bellevue Medical Center Dr Ste 145, Bellevue, NE 68123-1556 | 2017-05-17 |
| Find all providers in BELLEVUE | ||||
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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.