DR. MATTHEW DAVID NICHOLS (NPI# 1588292692) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588292692 |
| Entity Type | Individual |
| Full Name | DR. MATTHEW DAVID NICHOLS |
| Credential | DO |
| Practice Address |
6500 38th Ave N St Petersburg FL 33710-1629 |
| Practice Telephone | 7273841414 |
| Enumeration Date | 2020-04-01 |
| Last Update Date | 2020-04-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447819966 | Matthew Nichols | Student in an Organized Health Care Education/Training Program | 216 Central Ave, Elizabethtown, KY 42701-1477 | 2019-06-08 |
| 1558749432 | Matthew O Nichols | Physician Assistant | 580 Court St, The Cheshire Medical Center (er), Keene, NH 03431-1718 | 2015-05-12 |
| 1093028052 | Matthew Nichols | Family Medicine | 270 Main St, Portland, CT 06480-1859 | 2010-07-20 |
| 1285807081 | Matthew Lee Nichols | Dentist | 1425 Mcarthur St, Manchester, TN 37355-2517 | 2008-04-12 |
| 1700082260 | Matthew Charles Nichols | Emergency Medicine | 10401 W Thunderbird Blvd, Sun City, AZ 85351-3004 | 2007-06-22 |
| 1952451379 | Matthew Nichols | Internal Medicine | 10103 Ridgegate Pkwy, Ste 312, Lone Tree, CO 80124-5520 | 2007-01-10 |
| Street Address |
6500 38TH AVE N |
| City | ST PETERSBURG |
| State | FL |
| Zip Code | 33710-1629 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750330874 | Maritime Er Svcs Partnership LLC | Emergency Medicine | 6500 38th Ave N, St Petersburg, FL 33710-1629 | 2006-05-08 |
| 1841829504 | Jonas Cohen | Student in an Organized Health Care Education/Training Program | 6500 38th Ave N, St Petersburg, FL 33710-1629 | 2020-04-05 |
| 1700415411 | Saksham Varshney | Student in an Organized Health Care Education/Training Program | 6500 38th Ave N, St Petersburg, FL 33710-1629 | 2020-04-04 |
| 1134758824 | Mark Azmy | Student in an Organized Health Care Education/Training Program | 6500 38th Ave N, St Petersburg, FL 33710-1629 | 2020-04-04 |
| 1669001525 | Benjamin David Heflin | Student in an Organized Health Care Education/Training Program | 6500 38th Ave N, St Petersburg, FL 33710-1629 | 2020-04-03 |
| 1386273472 | Michael Ray Epps Jr. | Student in an Organized Health Care Education/Training Program | 6500 38th Ave N, St Petersburg, FL 33710-1629 | 2020-04-02 |
| 1013546001 | Michael Fox | Student in an Organized Health Care Education/Training Program | 6500 38th Ave N, St Petersburg, FL 33710-1629 | 2020-04-02 |
| 1225667280 | Aalok Shah | Student in an Organized Health Care Education/Training Program | 6500 38th Ave N, St Petersburg, FL 33710-1629 | 2020-04-02 |
| 1861020950 | Humdoon Choudhry | Student in an Organized Health Care Education/Training Program | 6500 38th Ave N, St Petersburg, FL 33710-1629 | 2020-04-01 |
| 1306474523 | Raj Jagdishkumar Desai | Student in an Organized Health Care Education/Training Program | 6500 38th Ave N, St Petersburg, FL 33710-1629 | 2020-04-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023615812 | Bay Vision Inc | Optometrist | 6951 22nd Ave North, St. Petersburg, FL 33710 | 2020-10-05 |
| 1821566845 | Harish J. Patel, Md | Non-Pharmacy Dispensing Site | 6449 38th Avenue North, Suite B3, Saint Petersburg, FL 33710 | 2018-11-07 |
| 1659860708 | Lydia M Gomez | Physical Therapist | 6775 Crosswinds Dr. N, Saint Petersburg, FL 33710 | 2018-05-04 |
| 1619498169 | Tiffiny C Rudkin | Massage Therapist | 3039 - 49th St. N., St. Petersburg, FL 33710 | 2017-07-05 |
| 1114456480 | Roberto Macedo Dentistry LLC | Dentist | 7801 38th Ave North, St. Petersburg, FL 33710 | 2017-06-08 |
| 1528429495 | Frank Michael Massotto Jr. | Nurse Practitioner | 3251 66th St. North, St Petersburg, FL 33710 | 2016-03-18 |
| 1235522889 | Toby Weinman Assisted Living Residence | Assisted Living Facility | 240 59th St N, St Petersburg, FL 33710 | 2015-03-06 |
| 1821415951 | Ryan Troup | Physician Assistant | 603 - 7th St. S, Suite 360, Emergency Physicians of Saint Petersburg, Saint Petersburg, FL 33710 | 2014-03-26 |
| 1629491600 | Garett Janes Sears | Psychologist | 1913 Tyrone Blvd, St. Petersburg, FL 33710 | 2014-01-28 |
| 1912331943 | Solimar Jimenez Diaz | Obstetrics & Gynecology | 6450 38th Ave N Ste 200, St Petersburg, FL 33710 | 2013-08-27 |
| Find all providers in zip 33710 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316556368 | Jacob Sidney Alexander | Student in an Organized Health Care Education/Training Program | 1663 Brightwaters Blvd Ne, St Petersburg, FL 33704-3813 | 2020-07-27 |
| 1437647641 | Eric William Yuschak | Student in an Organized Health Care Education/Training Program | 6500 38th Ave N Ste 400, St Petersburg, FL 33710-1629 | 2018-04-24 |
| 1164929774 | Omid Roostaeyan | Student in an Organized Health Care Education/Training Program | 700 6th St S Bay Bayfront, St Petersburg, FL 33701-4815 | 2018-04-10 |
| 1730684895 | Loraine Marie Torres Garcia | Student in an Organized Health Care Education/Training Program | Bayfront Health St Petersburg, 700 6th Street South, St Petersburg, FL 33701 | 2018-03-29 |
| 1083146468 | Tyler Wellman | Student in an Organized Health Care Education/Training Program | 1078 Paseo Del Rio Ne, St Petersburg, FL 33702-1457 | 2017-04-03 |
| 1326592239 | Van Le Nguyen | Student in an Organized Health Care Education/Training Program | 8001 Elbow Ln N, St Petersburg, FL 33710-4323 | 2016-08-09 |
| 1972967453 | Travis Alexander Williams | Student in an Organized Health Care Education/Training Program | 625 13th Ave Ne, St Petersburg, FL 33701-1310 | 2016-04-11 |
| 1437512969 | Weston Wall | Student in an Organized Health Care Education/Training Program | 4655 Waterford Ct Ne, St Petersburg, FL 33703-4948 | 2016-04-01 |
| 1598102329 | Bridget Narvaez | Student in an Organized Health Care Education/Training Program | 2075 Lakewood Club Dr S, Apt. A, St Petersburg, FL 33712-4978 | 2013-06-03 |
| 1205434867 | Diane Rose Bronkema | Student in an Organized Health Care Education/Training Program | 625 6th Ave S Ste 450, St Petersburg, FL 33701-4629 | 2020-10-15 |
| Find all providers in ST PETERSBURG | ||||
| City | ST PETERSBURG |
| Zip Code | 33710 |
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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.