WILLIAM JOHN NICHOLAS (NPI# 1356387484) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356387484 |
| Entity Type | Individual |
| Full Name | WILLIAM JOHN NICHOLAS |
| Credential | MD |
| Practice Address |
3202 Mcintosh Cir Ste Ll03 Joplin MO 64804-3646 |
| Mailing Address |
Po Box 3810 Joplin MO 64803 |
| Practice Telephone | 4173476400 |
| Mailing Telephone | 4173476400 |
| Enumeration Date | 2006-06-20 |
| Last Update Date | 2015-06-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
110180 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | ANTHEM | 117796 | 01 |
| KS | RR MEDICARE | P00322601 | 01 |
| RR MEDICARE | 060061613 | 01 | |
| KS | 100137270D | 05 | |
| KS | BCBS KS | 424135 | 01 |
| MO | 208167924 | 05 | |
| KS | 100137270C | 05 | |
| OK | 100202220A | 05 | |
| KS | KS BCBS | 110817 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699802579 | William R Nicholas | Otolaryngology | 127 Locust St, Danvers, MA 01923-1654 | 2007-02-27 |
| 1326116427 | William Nicholas | Allergy & Immunology | 44 Oyster Shores Rd, East Hampton, NY 11937-1179 | 2006-11-30 |
| 1982032355 | William Nicholas | Physician Assistant | Us Highway 491 North, Shiprock, NM 87420 | 2013-10-23 |
| 1871513895 | William Clyde Nicholas | Internal Medicine | 2500 North State Street, Department of Medicine Division of Endocrinology, Jackson, MS 39216-4500 | 2006-07-20 |
| Street Address |
3202 MCINTOSH CIR STE LL03 |
| City | JOPLIN |
| State | MO |
| Zip Code | 64804-3646 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306839402 | Abigail A Neighmond | Family Medicine | 3202 Mcintosh Cir, Ste 301, Joplin, MO 64804-3646 | 2005-08-24 |
| 1497147110 | Christine Ann Chambers | Nurse Practitioner | 3202 Mcintosh Cir, Ste Ll03, Joplin, MO 64804-3646 | 2015-03-04 |
| 1902205297 | Amanda K Grounds | Nurse Practitioner | 3202 Mcintosh Cir, Suite 102, Joplin, MO 64804-3646 | 2014-08-22 |
| 1457784985 | W. John Nicholas, Md, PC | Internal Medicine | 3202 Mcintosh Cir, Ste Ll03, Joplin, MO 64804-3646 | 2013-08-20 |
| 1891138848 | Amanda Marie Harrell | Internal Medicine | 3202 Mcintosh Cir, Ste 201, Joplin, MO 64804-3646 | 2013-04-09 |
| 1891068896 | Katherine M Baker | Registered Nurse | 3202 Mcintosh Cir, Suite 101, Joplin, MO 64804-3646 | 2012-02-22 |
| 1891084943 | Brandon Gregory Gibson | Internal Medicine | 3202 Mcintosh Cir, Suite 201, Joplin, MO 64804-3646 | 2011-03-29 |
| 1053572966 | Jason Lee Maxfield | Psychiatry & Neurology | 3202 Mcintosh Cir, Ste 102, Joplin, MO 64804-3646 | 2008-06-23 |
| 1013924315 | Stephen Ray Thomas | Family Medicine | 3202 Mcintosh Cir, Ste 302, Joplin, MO 64804-3646 | 2006-08-01 |
| 1306876818 | Jill A Endicott | Nurse Practitioner | 3202 Mcintosh Cir, Suite Ll03, Joplin, MO 64804-3646 | 2006-07-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033718903 | Lisa Jo Moore | Nurse Practitioner | 2623 S Main Street, Nixa, MO 64804 | 2020-10-22 |
| 1346859600 | Centered and Connected LLC | Counselor | 2401 E 32nd St, Ste 10 #103, Joplin, MO 64804 | 2020-07-23 |
| 1649838780 | Nicole Lynn Egan | Social Worker | 3010 Mcclelland, Joplin, MO 64804 | 2019-06-04 |
| 1902361652 | Redings Mill Internal Care | Clinic/Center | 454 Redings Mill Rd, Joplin, MO 64804 | 2019-02-06 |
| 1447732508 | Urgent Care Travel, Inc | Clinic/Center | 5931 E 32nd Street, Joplin, MO 64804 | 2018-09-05 |
| 1912488891 | Karl G. Keczkemethy | Dietitian, Registered | 100 Mercy Way Ste 570, Joplin, MO 64804 | 2018-08-28 |
| 1790207546 | Jacksie Short | Dentist | 2819 E 29th St, Joplin, MO 64804 | 2017-07-13 |
| 1326574625 | Kristine Kwon Rowland | Nurse Practitioner | 100 Mercy Way Ste 320-330, Joplin, MO 64804 | 2017-05-05 |
| 1942735212 | West R Loveland | Counselor | 3230 S Wisconsin St Suite H, Joplin, MO 64804 | 2017-04-25 |
| 1174070205 | Tracy L Fry | Nurse Practitioner | 3333 Mcintosh Cir Ste 4, Joplin, MO 64804 | 2016-09-07 |
| Find all providers in zip 64804 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033126834 | Eugene E Langevin | Internal Medicine | 1531 W 32nd St Ste 208, Joplin, MO 64804-1651 | 2006-08-02 |
| 1255334777 | Christopher Ryan Longnecker | Internal Medicine | 1102 W 32nd St, Suite 300, Joplin, MO 64804-3503 | 2005-05-30 |
| 1457784985 | W. John Nicholas, Md, PC | Internal Medicine | 3202 Mcintosh Cir, Ste Ll03, Joplin, MO 64804-3646 | 2013-08-20 |
| 1043657844 | Augustus L Caine Jr. | Internal Medicine | 100 Mercy Way Ste 320, Joplin, MO 64804-4524 | 2013-06-03 |
| 1417144403 | Eugene E. Langevin,d.o.,p.c. | Internal Medicine | 1531 W 32nd St, Suite 208, Joplin, MO 64804-1611 | 2007-10-03 |
| 1376602649 | Rafael J Gaytan | Internal Medicine | 100 Mercy Way, Suite 320-330, Joplin, MO 64804-4524 | 2006-12-06 |
| 1063442572 | John F Swartz IIi | Internal Medicine | 1102 W 32nd Street, Ste 300, Joplin, MO 64804 | 2006-07-03 |
| 1467480558 | David Zuehlke | Internal Medicine | 1102 W 32nd St, Ste 300, Joplin, MO 64804-3503 | 2006-06-29 |
| 1669418612 | John M Cox | Internal Medicine | 1102 West 32nd Street, Ste 300, Joplin, MO 64804 | 2006-06-20 |
| 1265478390 | Robert C Stauffer | Internal Medicine | 1102 West 32nd Street, Ste 300, Joplin, MO 64804 | 2006-06-20 |
| Find all providers in JOPLIN | ||||
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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.