DR. IVAN JOHN CHRISTOV NICOLOV


Address: Bia Rte 125, Pine Hill, NM 87357
Phone: 5057753271

DR. IVAN JOHN CHRISTOV NICOLOV (NPI# 1649488255) 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) 1649488255
Entity Type Individual
Full Name DR. IVAN JOHN CHRISTOV NICOLOV
Credential M.D.
Practice Address Bia Rte 125
Pine Hill
NM 87357
Mailing Address Bia Rte 125
310
Pine Hill
NM 87357
Practice Telephone 5057753271
Practice Fax Number 5057753930
Mailing Telephone 5057753271
Mailing Fax Number 5057753930
Enumeration Date 2007-05-18
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207QH0002X Family Medicine
Specialization: Hospice and Palliative Medicine
MD20060115 NM Allopathic & Osteopathic Physicians

Office Location

Street Address BIA RTE 125
City PINE HILL
State NM
Zip Code 87357

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1659996031 Siamak Mollaei Pharmacist Bureau of Indian Affair Route 125, Pinehill, NM 87357 2020-06-11
1205450939 Aislinn B Grover Dental Hygienist Indian Service Rte 140 & Indian Service Route 125, Pinehill, NM 87357 2020-05-28
1285286419 Myeshia La'tway Carroll Nurse Practitioner Indian Service Rte 140 & Indian Service Rte 125, Pine Hill, NM 87357 2019-07-09
1659735140 Jennifer John Charley Counselor 15 Behavioral Health Rd, Pinehill, NM 87357 2016-04-11
1639421001 Vicki Andrea Winter Pharmacist Bia Route 140, Pinehill, NM 87357 2012-10-10
1043535388 Pearl A Alonzo Registered Nurse Bia 125, Pine Hill Health Center, Pine Hill, NM 87357 2010-03-30
1306047527 Michael John Nolan Physician Assistant 310 Pine Hill, Pine Hill, NM 87357 2007-05-29
1316066244 Jill Sanders Pharmacist 125 Bia Route, Pine Hill Health Center, Pine Hill, NM 87357 2007-03-29
1073671194 Pine Hill Health Center Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy Bia Rt 125, Pine Hill, NM 87357 2006-12-04
1720175581 Kristi Michelle Turney Pharmacist Pine Hill Health Center, Bia Route 125, Pine Hill, NM 87357 2006-10-05
Find all providers in zip 87357

Taxonomy Information

Taxonomy Code 207QH0002X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine
Specialization Hospice and Palliative Medicine

Taxonomy Definition

A family medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care.
Notes: Source: American Academy of Hospice and Palliative Medicine, www.aahpm.org [1/1/2007: new]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1013397363 Gina Marie Lutz Family Medicine Hospice of New Mexico, 2900 Louisiana Blvd Ne, Albuquerque, NM 87110 2015-06-02
1770982951 St. Vincent Hospital Family Medicine 490b W Zia Rd, Suite 4, Santa Fe, NM 87505-7008 2014-08-14
1346378015 Francesco Standoli Family Medicine 4901 Lang Ave Ne, Albuquerque, NM 87109-4495 2007-03-02
1740299379 Nancy Guinn Family Medicine 8100 Constitution Pl Ne, Suite 400, Albuquerque, NM 87110-7643 2006-08-05

Competitor

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City PINE HILL
Zip Code 87357

Improve Information

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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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