MATTHEW K NICKERSON (NPI# 1609918218) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609918218 |
| Entity Type | Individual |
| Full Name | MATTHEW K NICKERSON |
| Credential | D.O. |
| Practice Address |
1325 N Highland Ave Aurora IL 60506-1449 |
| Mailing Address |
2000 Spring Rd Suite 200 Oak Brook IL 60523-1804 |
| Practice Telephone | 6308592222 |
| Mailing Telephone | 6304728810 |
| Mailing Fax Number | 6304720907 |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | IL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043826290 | Matthew Nickerson | Massage Therapist | 100 W Chestnut St, Burlington, WI 53105-1203 | 2020-09-22 |
| 1811527005 | Matthew E Nickerson | Chiropractor | 711 Albert Pike Rd, Hot Springs, AR 71913-4143 | 2020-01-16 |
| 1164827044 | Matthew Ryan Nickerson | Physical Therapist | 725 S. Dobson Rd, Suite 203, Chandler, AZ 85224-5679 | 2014-11-04 |
| Street Address |
1325 N HIGHLAND AVE |
| City | AURORA |
| State | IL |
| Zip Code | 60506-1449 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053310417 | Aurora Radiology Consultants, S.c. | Radiology | 1325 N Highland Ave, Aurora, IL 60506-1449 | 2005-07-19 |
| 1790307999 | Dorota Teresa Kruczek | Counselor | 1325 N Highland Ave, Aurora, IL 60506-1449 | 2020-05-11 |
| 1255967709 | Kathryn Ann Mckenna | Social Worker | 1325 N Highland Ave, Aurora, IL 60506-1449 | 2020-03-17 |
| 1134778152 | Robert W Healy | Social Worker | 1325 N Highland Ave, Aurora, IL 60506-1449 | 2019-09-11 |
| 1548721673 | Kristina Thomas | Social Worker | 1325 N Highland Ave, Aurora, IL 60506-1449 | 2019-03-29 |
| 1811454333 | Meagan Gabrielle Knight | Counselor | 1325 N Highland Ave, Aurora, IL 60506-1449 | 2019-02-21 |
| 1194298463 | Sarah Kestner | Dietitian, Registered | 1325 N Highland Ave, Aurora, IL 60506-1449 | 2019-01-09 |
| 1306318027 | Tianna Miulli | Counselor | 1325 N Highland Ave, Aurora, IL 60506-1449 | 2018-12-19 |
| 1831649029 | Jatame Carden | Physician Assistant | 1325 N Highland Ave, Aurora, IL 60506-1449 | 2016-10-11 |
| 1881141125 | Tracy Butler | Nurse Practitioner | 1325 N Highland Ave, Aurora, IL 60506-1449 | 2016-09-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225678121 | Yvette Velazquez | Non-emergency Medical Transport (VAN) | 1743 Plum St, Aurora, IL 60506 | 2020-01-09 |
| 1609420173 | Salma Hydari | Dentist | 1264 N Lake St., Aurora, IL 60506 | 2019-08-01 |
| 1720647092 | Tirumala Aggarwal | Dentist | Premier Dental, 1264 N Lake Street, Aurora, IL 60506 | 2019-06-11 |
| 1730644410 | Margaret Elizabeth Beallis | Counselor | 120 Gale St., Aurora, IL 60506 | 2019-02-06 |
| 1639634322 | Jordan Devera | Student in an Organized Health Care Education/Training Program | Aurora University 347 S Gladstone Ave, Pmb 729, Aurora, IL 60506 | 2019-02-06 |
| 1770077737 | Harriet L Miller | Registered Nurse | 1081 Emerald Dr, Aurora, IL 60506 | 2018-06-21 |
| 1275033516 | Lillian Antonia Villamil | Registered Nurse | 400 Mercy Lane, Aurora, IL 60506 | 2018-02-13 |
| 1689173676 | Ideal Medical Equipment and Supplies | Durable Medical Equipment & Medical Supplies | 1177 N Highland Ave Ste#204, Aurora, IL 60506 | 2018-02-06 |
| 1417465535 | Aaron Downing | Counselor | 525 N. Edgelawn Ave, Aurora, IL 60506 | 2018-01-11 |
| 1942739222 | Jessica Toma | Pharmacist | 1952 W Galena Blvd, Aurora, IL 60506 | 2017-06-08 |
| Find all providers in zip 60506 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477075224 | Highlands Ranch Healthcare LLC | Emergency Medicine | 10797 E Mississippi Avenue, Aurora, CO 80012-3101 | 2017-07-13 |
| 1114026234 | Matthew Carson Ponder | Emergency Medicine | 3350 Peoria St Ste 120, Aurora, CO 80010-1430 | 2006-09-22 |
| 1104938422 | Jamira T Jones | Emergency Medicine | 25551 E Smoky Hill Rd, Aurora, CO 80016 | 2006-08-31 |
| 1881608255 | Matthew Chase | Emergency Medicine | 15300 E Mississippi Ave, Aurora, CO 80017-3026 | 2006-07-28 |
| 1083664569 | Jerald Solot | Emergency Medicine | 18890 E Hampden Ave, Aurora, CO 80013-3504 | 2006-05-12 |
| 1497718829 | Michael David Weiner | Emergency Medicine | White Comm Hosp, Aurora, MN 55750 | 2006-04-07 |
| 1861452716 | Michael E Roberts | Emergency Medicine | 10355 E Iliff Ave, Aurora, CO 80247-3622 | 2006-03-24 |
| 1407822851 | Charles P Buckley | Emergency Medicine | 1561 Jeanel Ln, Aurora, IL 60502-9633 | 2006-02-27 |
| 1780659573 | George A. Melone Jr. | Emergency Medicine | 12631 E 17th Ave, Aurora, CO 80045 | 2006-02-23 |
| 1760466239 | Richard G. Bieser | Emergency Medicine | 1501 S. Potomac Street, Aurora, CO 80012-5411 | 2005-11-30 |
| Find all providers in AURORA | ||||
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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.