ROBERT M NICHOLSON IV (NPI# 1619136447) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619136447 |
| Entity Type | Individual |
| Full Name | ROBERT M NICHOLSON IV |
| Credential | MD |
| Practice Address |
900 Peeler St Kalamazoo MI 49008-2300 |
| Practice Telephone | 2693458618 |
| Practice Fax Number | 2693451508 |
| Mailing Telephone | 2693458618 |
| Mailing Fax Number | 2693451508 |
| Enumeration Date | 2008-06-06 |
| Last Update Date | 2012-07-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207L00000X | Anesthesiology | 4301099953 | MI | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | MI LICENSE | 4301099953 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124417373 | Robert J Nicholson Jr. | Specialist | 7749 Sevenoaks Ave, Baton Rouge, LA 70806-7652 | 2015-01-12 |
| 1659481885 | Robert H Nicholson | Ophthalmology | 56 Main Street, Skowhegan, ME 04976 | 2006-08-30 |
| 1912901828 | Robert B Nicholson | Pediatrics | 3055 Macarthur Blvd, Oakland, CA 94602-3211 | 2005-06-08 |
| 1619505559 | Robert Nicholson | Student in an Organized Health Care Education/Training Program | 1000 Blythe Blvd, Charlotte, NC 28203-5812 | 2020-03-27 |
| 1245291566 | Robert John Nicholson | Family Medicine | 1601 Saint Francis Ave, Suite 100, Shakopee, MN 55379-3383 | 2006-03-28 |
| 1447225347 | Robert M Nicholson IIi | Anesthesiology | 900 Peeler St, Kalamazoo, MI 49008-2380 | 2006-02-22 |
| Street Address |
900 PEELER ST |
| City | KALAMAZOO |
| State | MI |
| Zip Code | 49008-2300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699754820 | Mary E Koterba | Nurse Anesthetist, Certified Registered | 900 Peeler St, Kalamazoo, MI 49008-2300 | 2006-01-16 |
| 1659971034 | Ethan John Chupka | Registered Nurse | 900 Peeler St, Kalamazoo, MI 49008-2300 | 2020-10-27 |
| 1396342945 | Janette Gustafson | Registered Nurse | 900 Peeler St, Kalamazoo, MI 49008-2300 | 2020-10-07 |
| 1316544430 | Eric J Johnson | Nurse Anesthetist, Certified Registered | 900 Peeler St, Kalamazoo, MI 49008-2300 | 2020-10-01 |
| 1295341469 | Remi Lynn Brackett | Registered Nurse | 900 Peeler St, Kalamazoo, MI 49008-2300 | 2020-09-22 |
| 1508482910 | Chad William Pitock | Registered Nurse | 900 Peeler St, Kalamazoo, MI 49008-2300 | 2020-06-22 |
| 1871132654 | Timothy Paul Mccoy | Registered Nurse | 900 Peeler St, Kalamazoo, MI 49008-2300 | 2019-12-27 |
| 1578101937 | John Thomas Kallas | Registered Nurse | 900 Peeler St, Kalamazoo, MI 49008-2300 | 2019-12-17 |
| 1558903567 | Frank Andrew Schymik | Nurse Anesthetist, Certified Registered | 900 Peeler St, Kalamazoo, MI 49008-2300 | 2019-10-10 |
| 1639721095 | Andrew Cooper | Nurse Anesthetist, Certified Registered | 900 Peeler St, Kalamazoo, MI 49008-2300 | 2019-07-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144847534 | Theresa Anne Aranda | Pharmacist | 3016 S Westendge Ave, Kalamazoo, MI 49008 | 2020-07-01 |
| 1336615830 | Jonathon Strefling | Physical Therapist | 165 N. Washington Ave, Battle Creek, MI 49008 | 2018-10-23 |
| 1376039826 | Alexander J Hessler I | Pharmacist | 5121 S Westnedge Ave., Kalamazoo, MI 49008 | 2018-07-09 |
| 1700324415 | Philip Richard Granish | Psychologist | 4341 S. Westnedge, Suite 1103, Kalamazoo, MI 49008 | 2017-02-02 |
| 1396195863 | Kyle Bronsteen | Student in an Organized Health Care Education/Training Program | Wmu School of Medicine, 1000 Oakland Drive, Kalamazoo, MI 49008 | 2016-06-15 |
| 1013363449 | Gwendolyn Layette Moore | Home Health Aide | 4441 Old Colony Road, Kalamazoo, MI 49008 | 2016-05-04 |
| 1982008066 | Danah Kim | Dentist | 3130 N Westnedge Ave., Kalamazoo, MI 49008 | 2014-10-17 |
| 1598168874 | Melissa Shields | Physician Assistant | Western Michigan University, 1903 Western Michigan Avenue, Kalamazoo, MI 49008 | 2014-10-01 |
| 1831508548 | D2 Dental of Michigan, P.C. | Dentist | 3130 S Westnedge Avenue, Kalamazoo, MI 49008 | 2014-08-06 |
| 1558784330 | Maureen Brown | Pharmacist | 5121 S. Westnedge Ave, Kalamazoo, MI 49008 | 2014-01-29 |
| Find all providers in zip 49008 | ||||
| Taxonomy Code | 207L00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568898328 | Kenneth John Betten | Anesthesiology | 6028 Ravine Ridge Rd, Kalamazoo, MI 49009-9058 | 2013-09-24 |
| 1932398286 | Alan George Stoddard | Anesthesiology | 7576 Thrasher Ln, Kalamazoo, MI 49009-3858 | 2007-10-22 |
| 1194105148 | Kelly Morga | Anesthesiology | 900 Peeler St, Kalamazoo, MI 49008-2300 | 2015-06-04 |
| 1164840328 | Ryan W Bradstreet | Anesthesiology | 900 Peeler St, Kalamazoo, MI 49008-2300 | 2014-04-03 |
| 1053756841 | David Karr | Anesthesiology | 900 Peeler St, Kalamazoo, MI 49008-2300 | 2013-05-07 |
| 1093074718 | Keith W Mulder | Anesthesiology | 900 Peeler St, Kalamazoo, MI 49008-2300 | 2012-05-15 |
| 1073872792 | Vincent Pagano | Anesthesiology | 900 Peeler St, Kalamazoo, MI 49008-2300 | 2012-05-15 |
| 1174882823 | Andrew Joseph Schulz | Anesthesiology | 900 Peeler St, Kalamazoo, MI 49008-2300 | 2012-05-15 |
| 1811253701 | Adam Michael Schwabauer | Anesthesiology | 900 Peeler St, Kalamazoo, MI 49008-2300 | 2012-04-05 |
| 1649561143 | Seth Michael Raymond | Anesthesiology | 900 Peeler St, Kalamazoo, MI 49008-2300 | 2011-05-02 |
| Find all providers in KALAMAZOO | ||||
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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.