DR. MICHAEL P NICHOLSON (NPI# 1407169097) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407169097 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL P NICHOLSON |
| Credential | DO |
| Practice Address |
1410 Sw Tradition Dr Ste 120 Ankeny IA 50023 |
| Mailing Address |
7147 Vista Dr Ste 150 West Des Moines IA 50266-9313 |
| Practice Telephone | 5158759040 |
| Practice Fax Number | 5158759041 |
| Mailing Telephone | 5158759925 |
| Mailing Fax Number | 5158759923 |
| Enumeration Date | 2010-07-23 |
| Last Update Date | 2018-06-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | DO-04291 | IA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417591827 | Michael Nicholson | Counselor | 1990 Augusta St Ste 204, Greenville, SC 29605-6505 | 2019-10-30 |
| 1144718834 | Michael Ray Nicholson | Dentist | 10929 South St Ste 106b, Cerritos, CA 90703-5373 | 2018-04-27 |
| 1619101847 | Michael R Nicholson | Counselor | 10940 W Forest Home Ave, Hales Corners, WI 53130-2516 | 2009-05-01 |
| 1942241633 | Michael Nicholson | Obstetrics & Gynecology | 5220 Highland Rd Ste 230, Waterford, MI 48327-1973 | 2006-06-10 |
| 1609418797 | Michael John Nicholson | Student in an Organized Health Care Education/Training Program | 29 E 29th St, Bayonne, NJ 07002-4654 | 2019-10-10 |
| 1518523927 | Michael Nicholson | Community Health Worker | 1775 Grand Concourse, Bronx, NY 10453-8202 | 2019-05-13 |
| 1083145890 | Michael Palmer Nicholson | Counselor | 4455 Ne Highway 20, Corvallis, OR 97330-9695 | 2017-03-23 |
| 1043457609 | Michael B. Nicholson Jr. | Counselor | 104 S Front Ave, Prestonsburg, KY 41653 | 2009-01-19 |
| Street Address |
1410 SW TRADITION DR STE 120 |
| City | ANKENY |
| State | IA |
| Zip Code | 50023 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699760223 | Stephanie Powell Morgan | Obstetrics & Gynecology | 1410 Sw Tradition Dr, Ste 260, Ankeny, IA 50023 | 2005-09-20 |
| 1679951073 | Allison Lane Whitney | Pediatrics | 1410 Sw Tradition Dr, Ankeny, IA 50023-9188 | 2015-05-18 |
| 1184056129 | The Iowa Clinic, PC | Durable Medical Equipment & Medical Supplies | 1410 Sw Tradition Dr, Ste 270, Ankeny, IA 50023 | 2013-08-01 |
| 1922350180 | Mckenze Maiers | Physical Therapist | 1410 Sw Tradition Dr, Ste 290, Ankeny, IA 50023 | 2012-10-11 |
| 1306165048 | Zachary Fett | Physical Therapist | 1410 Sw Tradition Dr, Ste 290, Ankeny, IA 50023 | 2010-05-20 |
| 1639348972 | Mallory Jo Swenson | Physical Therapist | 1410 Sw Tradition Dr, Ste 290, Ankeny, IA 50023 | 2008-02-20 |
| 1720297716 | Melissa Ann Ehm Pote | Family Medicine | 1410 Sw Tradition Dr, Ste 120, Ankeny, IA 50023 | 2007-05-22 |
| 1003826181 | Barbara Hodne | Family Medicine | 1410 Sw Tradition Dr, Ste 120, Ankeny, IA 50023 | 2006-08-09 |
| 1093732828 | Stefanie Gatica | Registered Nurse | 1410 Sw Tradition Dr, Ste 110, Ankeny, IA 50023 | 2006-07-17 |
| 1184655904 | Matthew Michael Otis | Family Medicine | 1410 Sw Tradition Dr, Ste 110, Ankeny, IA 50023 | 2006-07-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356956916 | Jennifer Cherop Cheruiyot | Nurse Practitioner | 215 Nw 18th St, Ankeny Ia 50023, Ankeny, IA 50023 | 2020-09-10 |
| 1659904803 | Ikc, LLC | Clinic/Center | 8736 Nw 27th Court, Ankeny, IA 50023 | 2020-02-17 |
| 1104457126 | Achieve Tms Centers Central PC | Psychiatry & Neurology | 1517 N. Ankeny Blvd., Suite E, Ankeny, IA 50023 | 2020-01-29 |
| 1023663994 | Janet Lynn Rieckhoff | Counselor | 1517 N. Ankeny Blvd, Suite D, Ankeny, IA 50023 | 2019-08-07 |
| 1790344158 | Jacquelyn Olson Leech | Counselor | 2301 W. 1st Street, Ste 4, Ankeny, IA 50023 | 2019-06-10 |
| 1063077717 | Benjamin Kohler | Chiropractor | 1201 Sw State St, Suite 101, Ankeny, IA 50023 | 2019-05-08 |
| 1831657857 | Michael E Mcinroy | Counselor | 1609 N. Ankeny Blvd., Suite 210, Ankeny, IA 50023 | 2019-03-08 |
| 1396231825 | Catherine Walters | Counselor | 1609 N. Ankeny Blvd, Suite 210, Ankeny, IA 50023 | 2018-07-09 |
| 1053804617 | Ankeny Family Counseling | Counselor | 2301 W. 1st St. #4, Ankeny, IA 50023 | 2018-06-08 |
| 1952831521 | Michael Weston Sinklier | Family Medicine | 1360 Nw 18th Street, Ste 102, Ankeny, IA 50023 | 2017-06-15 |
| Find all providers in zip 50023 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740896828 | Lisa Marie Swanson | Family Medicine | 1609 N Ankeny Blvd # 200, Ankeny, IA 50023-4159 | 2020-09-23 |
| 1003421959 | Elizabeth Ann Myhr | Family Medicine | 2680 Ne 102nd Ave, Ankeny, IA 50021-9224 | 2020-09-08 |
| 1962960609 | Blankenship Health LLC | Family Medicine | 113 N Ankeny Blvd, Ankeny, IA 50023-1708 | 2019-03-12 |
| 1952831521 | Michael Weston Sinklier | Family Medicine | 1360 Nw 18th Street, Ste 102, Ankeny, IA 50023 | 2017-06-15 |
| 1750764916 | Christopher Ketter | Family Medicine | 2515 Sw State St Ste 200, Ankeny, IA 50023-7079 | 2015-07-07 |
| 1699062125 | Perry Lee Weigel | Family Medicine | 901 Se Oralabor Rd, Apt #3, Ankeny, IA 50021-3952 | 2011-07-05 |
| 1619148301 | Fred C Marsh Md, PC | Family Medicine | 2575 N Ankeny Blvd, Suite 201, Ankeny, IA 50023-4708 | 2008-03-20 |
| 1033319256 | Daniel C. Koos | Family Medicine | 1410 Sw Tradition Dr Ste 120, Ankeny, IA 50023-9188 | 2007-07-25 |
| 1528075165 | Theodore Lockard | Family Medicine | 2605 Sw White Birch Dr, Ankeny, IA 50023-7204 | 2006-08-02 |
| 1043253719 | Joyce L Christy | Family Medicine | 111 Nw 9th St, Ste 5, Ankeny, IA 50023-1754 | 2006-06-13 |
| Find all providers in ANKENY | ||||
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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.