DR. NICHOLAS DUSHKU


Address: 338 Choke Cherry Ln, Providence, UT 84332-9513
Phone: 4357534618

DR. NICHOLAS DUSHKU (NPI# 1548426661) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1548426661
Entity Type Individual
Full Name DR. NICHOLAS DUSHKU
Credential M.D.
Practice Address 338 Choke Cherry Ln
Providence
UT 84332-9513
Practice Telephone 4357534618
Practice Fax Number 4357534618
Mailing Telephone 4357534618
Mailing Fax Number 4357534618
Enumeration Date 2008-07-29
Last Update Date 2008-07-29
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207W00000X Ophthalmology 60550861205 UT Allopathic & Osteopathic Physicians

Office Location

Street Address 338 CHOKE CHERRY LN
City PROVIDENCE
State UT
Zip Code 84332-9513

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1821421710 Erin Campbell Physical Therapist 267 West Spring Creek Parkway, Providence, UT 84332 2013-08-14
1285981530 Jordan Joseph Hansen Dentist 169 N Gateway Drive, Suite 200, Providence, UT 84332 2012-08-06
1598086720 Cory B Maughan Dermatology 169 N Gateway Dr Ste 100, Providence, UT 84332 2010-06-22
1528299245 South Valley Eyecare Center, Inc. Optometrist 276 Springcreek Pkwy, Providence, UT 84332 2009-07-29
1316134356 Heather Saxton Maughan Speech-Language Pathologist 344 E Edgehill Dr, Providence, UT 84332 2007-10-03
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Taxonomy Information

Taxonomy Code 207W00000X
Grouping Allopathic & Osteopathic Physicians
Classification Ophthalmology

Taxonomy Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
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 Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1316265259 Melissa Ann Simon Ophthalmology 2 Dudley St Ste 505, Providence, RI 02905-3249 2010-05-16
1023268018 Irene M Lee Md PC Ophthalmology 903 Providence Pl, Apartment 362, Providence, RI 02903-7000 2008-09-25
1174670806 King Wai To Ophthalmology One Hoppin Street, Suite 202, Providence, RI 02903-4141 2007-01-04
1659310738 Andrew Ginn Bong Young Ophthalmology 1 Hoppin St Ste 202, Providence, RI 02903-4141 2006-06-05
1710950142 Philip R Rizzuto Ophthalmology 120 Dudly St, Suite 301, Providence, RI 02905 2006-02-08
1972589745 Robert Jeffrey Hofmann Ophthalmology 150 East Manning St., Providence, RI 02906 2005-12-22
1033109111 Jason Edward Karo Ophthalmology 150 E Manning St, Providence, RI 02906-5109 2005-10-28
1538154703 Yoash R Enzer Ophthalmology 120 Dudley St, Suite 104, Providence, RI 02905-2436 2005-09-14
1467458331 Paul B Greenberg Ophthalmology One Randall Square, Suite 203, Providence, RI 02904-4928 2005-06-24
1538165659 Caldwell Withers Smith Ophthalmology 690 Eddy St, Providence, RI 02903-4928 2005-06-23
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City PROVIDENCE
Zip Code 84332

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Dataset Information

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.

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