NICKOLAS ANTONY STROH (NPI# 1639268857) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639268857 |
| Entity Type | Individual |
| Full Name | NICKOLAS ANTONY STROH |
| Credential | P.A. |
| Practice Address |
4780 N Josey Ln Carrollton TX 75010-4615 |
| Practice Telephone | 9724921334 |
| Practice Fax Number | 9724925174 |
| Mailing Telephone | 9724921334 |
| Mailing Fax Number | 9724925174 |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2013-05-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA02788 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
PA02788 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | RAILROAD MEDICARE | P00935335 | 01 |
| TX | BC/BS TEXAS - EFFECT. 02/01/211 | 835N12 | 01 |
| Street Address |
4780 N JOSEY LN |
| City | CARROLLTON |
| State | TX |
| Zip Code | 75010-4615 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780683490 | Metrocrest Surgery Center Lp | Clinic/Center | 4780 N Josey Ln, Carrollton, TX 75010-4615 | 2005-07-15 |
| 1265998728 | Carrollton Or Surgical Affiliates Pllc | Physician Assistant | 4780 N Josey Ln, Carrollton, TX 75010-4615 | 2019-02-20 |
| 1952874257 | West Plano Surgery Specialist Pllc | Physician Assistant | 4780 N Josey Ln, Carrollton, TX 75010-4615 | 2019-01-09 |
| 1861969511 | Megan Elizabeth Carter | Physician Assistant | 4780 N Josey Ln, Carrollton, TX 75010-4615 | 2018-10-31 |
| 1760965842 | Holly Valle | Specialist/Technologist, Other | 4780 N Josey Ln, Carrollton, TX 75010-4615 | 2018-09-13 |
| 1366961104 | Julianne Joy Kucera | Physician Assistant | 4780 N Josey Ln, Carrollton, TX 75010-4615 | 2017-09-13 |
| 1013305945 | North Star Cn, Lp | Clinic/Center | 4780 N Josey Ln, Carrollton, TX 75010-4615 | 2014-12-30 |
| 1598106775 | Orthopedic Partners for Surgical Advancement | Physician Assistant | 4780 N Josey Ln, Carrollton, TX 75010-4615 | 2013-07-16 |
| 1013354307 | John Arvesen | Orthopaedic Surgery | 4780 N Josey Ln, Carrollton, TX 75010-4615 | 2013-05-28 |
| 1538409248 | Chelsea Michelle Bardwell | Physical Therapist | 4780 N Josey Ln, Carrollton, TX 75010-4615 | 2013-02-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043782907 | Timothy C. Pringle Md Pa | Surgery | 4541 N. Josey Lane, Suite 140, Carrollton, TX 75010 | 2018-12-17 |
| 1184106411 | Cindy T Vu | Occupational Therapy Assistant | 1877 Cheyenne, Carrollton, TX 75010 | 2018-09-04 |
| 1639686256 | Little Lantern Hospice LLC | Hospice Care, Community Based | 4541 North Josey Lane, Suite 110-b, Carrollton, TX 75010 | 2018-01-04 |
| 1235681610 | Kahini Shah | Physical Therapist | 1012 W Hebron Pkwy Ste 124, Carrollton, TX 75010 | 2016-11-01 |
| 1881148849 | Wais Azesh | Dentist | 1233 Apache Lake Dr, Carrollton, TX 75010 | 2016-08-08 |
| 1225485055 | Julia Buckelew | Physical Therapist | 4100 Fairway Dr Ste 400, Carrollton, TX 75010 | 2016-05-23 |
| 1811355639 | Fastpass Ucc, Pllc | Clinic/Center | 4228 N Josey Ln Ste 150, Carrollton, TX 75010 | 2016-02-08 |
| 1326404393 | Miaojuan Li | Nurse Practitioner | 4100 Fairway Dr Ste 300, Carrollton, TX 75010 | 2016-01-06 |
| 1912376112 | Envoy Hospice North LLC | Hospice Care, Community Based | 4040 Tx-121, Carrollton, TX 75010 | 2015-09-17 |
| 1932593936 | Lifeway Hospice, LLC | Hospice Care, Community Based | 4040 State Highway 121, Suite 140, Carrollton, TX 75010 | 2015-03-27 |
| Find all providers in zip 75010 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295333532 | Victoria Jane Campbell | Physician Assistant | 4412 Young Dr, Carrollton, TX 75010-1144 | 2020-10-09 |
| 1073129276 | Versoal, Pllc | Physician Assistant | 2459 E Hebron Pkwy Ste 100, Carrollton, TX 75010-4477 | 2020-09-22 |
| 1679099477 | Alyssa Musa Ali | Physician Assistant | 1301 Oneida Dr, Carrollton, TX 75010-2303 | 2017-08-14 |
| 1164887899 | Jashica Desai | Physician Assistant | 4300 N Josey Ln Ste 110, Carrollton, TX 75010-4681 | 2015-12-22 |
| 1538473343 | Christie Marie Redrow | Physician Assistant | 1237 Stillwater Trl, Carrollton, TX 75007-6230 | 2010-08-04 |
| 1518290378 | Kimberly A Quinter | Physician Assistant | 16160 Quail Crescent Ln, Carrollton, VA 23314-2251 | 2009-09-11 |
| 1861623951 | Asma Ashiqali Bhaidani | Physician Assistant | 4125 Fairway Dr Ste 190, Carrollton, TX 75010 | 2009-08-06 |
| 1942328984 | Autumn Deese Davis | Physician Assistant | 401 Dixie St, Carrollton, GA 30117-3921 | 2007-03-27 |
| 1306984679 | Richard C Schutt | Physician Assistant | 4780 N Josey Lane, Carrollton, TX 75010 | 2007-02-01 |
| 1437222783 | Gary Steven Marcum | Physician Assistant | 1702 E Belt Line Rd, Carrollton, TX 75006-6375 | 2006-11-16 |
| Find all providers in CARROLLTON | ||||
| City | CARROLLTON |
| Zip Code | 75010 |
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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.