STEPHEN NICHOLLS (NPI# 1437187598) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437187598 |
| Entity Type | Individual |
| Full Name | STEPHEN NICHOLLS |
| Credential | M.D. |
| Practice Address |
200 Ne Mother Joseph Pl Suite 330 Vancouver WA 98664-3299 |
| Mailing Address |
600 Broadway 112 Seattle WA 98122-5381 |
| Practice Telephone | 3605141854 |
| Practice Fax Number | 3605146063 |
| Mailing Telephone | 2064203119 |
| Mailing Fax Number | 2064535912 |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2016-09-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | 23966 | WA | Other Service Providers |
| N | 2086S0129X |
Surgery Specialization: Vascular Surgery |
MD03825IL | PA | Allopathic & Osteopathic Physicians |
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
MD00023966 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 8105322 | 05 |
| Street Address |
200 NE MOTHER JOSEPH PL SUITE 330 |
| City | VANCOUVER |
| State | WA |
| Zip Code | 98664-3299 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457343766 | Laura Deesha Ramme | Physician Assistant | 200 Ne Mother Joseph Pl, Suite 410, Vancouver, WA 98664-3299 | 2005-08-22 |
| 1154874956 | Brody Kadow | Physician Assistant | 200 Ne Mother Joseph Pl, Suite 110, Vancouver, WA 98664-3299 | 2016-07-27 |
| 1831642818 | Erik Lehrbach | Physician Assistant | 200 Ne Mother Joseph Pl, Suite 300, Vancouver, WA 98664-3299 | 2016-07-26 |
| 1497007983 | Matthew Earnest Nipper | Clinical Exercise Physiologist | 200 Ne Mother Joseph Pl, Physicians Pavilion, Ste 400, Vancouver, WA 98664-3299 | 2012-10-08 |
| 1104187384 | James Webster | Physical Therapist | 200 Ne Mother Joseph Pl, Suite 210, Vancouver, WA 98664-3299 | 2012-06-04 |
| 1043502560 | Deven A Karvelas | Physical Medicine & Rehabilitation | 200 Ne Mother Joseph Pl, Ste 210, Vancouver, WA 98664-3299 | 2011-05-03 |
| 1588969984 | Lindsay Rae Pfender | Physician Assistant | 200 Ne Mother Joseph Pl, Ste 110, Vancouver, WA 98664-3299 | 2011-01-14 |
| 1922302942 | Janell Louise Riepma | Nurse Practitioner | 200 Ne Mother Joseph Pl, Suite 400, Vancouver, WA 98664-3299 | 2011-01-05 |
| 1285946079 | Jonathan Garrett Matthews | Physician Assistant | 200 Ne Mother Joseph Pl, Suite 300, Vancouver, WA 98664-3299 | 2010-07-08 |
| 1649508805 | Bret Allen Lautt | Physical Therapist | 200 Ne Mother Joseph Pl, Suite 210, Vancouver, WA 98664-3299 | 2009-11-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285249938 | Angelica Maria Parle-fresquez | Speech-Language Pathologist | Early Childhood Assessment Center - Lieser School, 301 S. Lieser Rd, Vancouver, WA 98664 | 2020-09-10 |
| 1467923441 | Elizabeth Steen | Counselor | 230 E. State St., Mossyrock, WA 98664 | 2018-12-17 |
| 1497241657 | Chelsey Nicole Parker | Peer Specialist | 9815 Ne 3rd St, Vancouver, WA 98664 | 2018-07-10 |
| 1881145431 | Brent Homan | Occupational Therapist | 807 Se Morgan Rd., Vancouver, WA 98664 | 2016-10-19 |
| 1114474277 | Rebecca Marie Stefan | Nurse's Aide | 10025 Ne 19th St, Vancouver, WA 98664 | 2016-09-07 |
| 1528454105 | Alicia Ford | Dietitian, Registered | 700 Ne 87th Ave Ste 280, Vancouver, WA 98664 | 2015-04-10 |
| 1033504261 | Reid Roberts Bennett | Anesthesiology | 505 Ne 87th Ave Ste 210, Vancouver, WA 98664 | 2015-04-03 |
| 1235550856 | Nikolay Nikolaevich Chernukhin Jr. | Chiropractor | 221-a Ne 104th Ave, Suite 205, Vancouver, WA 98664 | 2013-12-27 |
| 1013278712 | Serena Harker | Physical Therapy Assistant | 221a Ne 104th Ave, Suite #205, Vancouver, WA 98664 | 2012-05-30 |
| 1295091080 | Rebeca C Johnson | Massage Therapist | 11015 Ne 4th Plain Suite B, Vancouver, WA 98664 | 2012-04-05 |
| Find all providers in zip 98664 | ||||
| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588826176 | Yolanda Ligsay Vea | Surgery | 1115 Se 164th Ave, Deparment 358, Vancouver, WA 98683-9324 | 2008-06-26 |
| 1831151968 | Carber C Huang | Surgery | 2101 Ne 139th St, Vancouver, WA 98686-2300 | 2006-04-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710496922 | Sunnyside Community Hospital Association | Surgery | 1005 W Walnut St Ste 201, Yakima, WA 98902-3384 | 2017-09-20 |
| 1750762415 | Anna Ohlsson | Surgery | 325 9th Ave # 359908, Seattle, WA 98104-2420 | 2015-06-17 |
| 1356722938 | Usa Vascular Centers of Kent Pllc | Surgery | 26124a Pacific Hwy S Ste A, Kent, WA 98032-6910 | 2015-06-09 |
| 1154602084 | Memorial Physicians, Pllc | Surgery | 1812 E Edison Ave, Sunnyside, WA 98944-1653 | 2011-09-06 |
| 1528387941 | Sara Jane Wasilenko | Surgery | 128 Lilly Rd Ne Ste 205, Olympia, WA 98506-7400 | 2010-05-25 |
| 1801051404 | Franciscan Medical Group | Surgery | 710 S 348th St, Ste A, Federal Way, WA 98003-7042 | 2008-07-23 |
| 1013104165 | John S Arthur | Surgery | 2528 Wheaton Way Ste 101, Bremerton, WA 98310-3305 | 2007-10-02 |
| 1891986097 | Vascular Associates, Ps | Surgery | 801 Broadway Ste 522, Seattle, WA 98122-4325 | 2007-08-05 |
| 1447464730 | Mai Thanh Pham | Surgery | 1229 Madison St Suite # 1190, Seattle, WA 98104 | 2007-05-09 |
| 1649491481 | Dae Young Lee | Surgery | 1100 Goethals Drive 3rd Floor, Kadlec Clinic Vascular Surgery, Richland, WA 99352-3304 | 2007-05-01 |
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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.