TIMOTHY P NICHOLS (NPI# 1720080229) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720080229 |
| Entity Type | Individual |
| Full Name | TIMOTHY P NICHOLS |
| Credential | M.D. |
| Practice Address |
615 N Bonita Ave Panama City FL 32401-3623 |
| Mailing Address |
2762 Continental Dr Ste 201 Baton Rouge LA 70808-3240 |
| Practice Telephone | 8883135258 |
| Practice Fax Number | 2053135298 |
| Mailing Telephone | 8883135258 |
| Mailing Fax Number | 2053135298 |
| Enumeration Date | 2005-08-15 |
| Last Update Date | 2016-06-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 72507 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 255405400 | 05 | |
| FL | BCBSF GRP # 98513 | 42672 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477045433 | Timothy Nichols | Counselor | 2337 Woods Dr, Saint Albans, WV 25177-8821 | 2018-06-05 |
| 1467611517 | Timothy Daniel Nichols | Dentist | 4383 Tennyson St, 1f, Denver, CO 80212-2363 | 2008-06-04 |
| 1508845256 | Timothy C Nichols | Optometrist | 418 Martling Rd, Albertville, AL 35951-7208 | 2006-01-11 |
| 1205496437 | Timothy James Nichols | Occupational Therapist | 851 Professional Park Dr, Clarksville, TN 37040-5257 | 2019-06-19 |
| 1083159727 | Timothy James Nichols | Physical Therapy Assistant | 1923 S Utica Ave, Tulsa, OK 74104-6520 | 2017-01-05 |
| 1770734170 | Timothy Nichols | Pharmacist | 2875 Nw Stucki Ave, Hillsboro, OR 97124-5806 | 2008-10-03 |
| 1265690762 | Timothy W Nichols | Pharmacist | 847 Taylorsville Rd, Taylorsville, KY 40071-9771 | 2008-05-30 |
| 1750441358 | Timothy C Nichols | Internal Medicine | 101 Manning Dr, Chapel Hill, NC 27599-0001 | 2006-12-12 |
| 1730269267 | Timothy J Nichols | Dentist | Hc 63 Box 3560, Romney, WV 26757-9722 | 2006-10-17 |
| 1093752073 | Timothy D Nichols | Specialist | 12606 Greenville Ave, Suite 160, Dallas, TX 75243-1921 | 2006-05-31 |
| Street Address |
615 N BONITA AVE |
| City | PANAMA CITY |
| State | FL |
| Zip Code | 32401-3623 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245235027 | George T Edwards | Surgery | 615 N Bonita Ave, Panama City, FL 32401-3623 | 2005-06-17 |
| 1144851411 | Hni Hospital Services of Florida, LLC | Family Medicine | 615 N Bonita Ave, Panama City, FL 32401-3623 | 2020-01-27 |
| 1205477601 | Whitney Hudson Ochanda | Nurse Anesthetist, Certified Registered | 615 N Bonita Ave, Panama City, FL 32401-3623 | 2019-10-07 |
| 1053894170 | Thomasina Waldera | Registered Nurse | 615 N Bonita Ave, Panama City, FL 32401-3623 | 2018-09-13 |
| 1760988307 | Christopher Neil Shores | Emergency Medical Technician, Paramedic | 615 N Bonita Ave, Panama City, FL 32401 | 2018-04-03 |
| 1679073431 | Audrey Ann Farr | Nurse Practitioner | 615 N Bonita Ave, Panama City, FL 32401-3623 | 2018-02-19 |
| 1255839098 | Aurelia Elise Stone | Nurse Practitioner | 615 N Bonita Ave, Panama City, FL 32401-3623 | 2018-01-26 |
| 1912429457 | Rachael C Rogers | Nurse Anesthetist, Certified Registered | 615 N Bonita Ave, Panama City, FL 32401-3623 | 2017-07-15 |
| 1346779394 | Madison Avery Webb | Physician Assistant | 615 N Bonita Ave, Panama City, FL 32401-3623 | 2017-06-05 |
| 1710414966 | Debroh Lynn Bailey | Registered Nurse | 615 N Bonita Ave, Panama City, FL 32401-3623 | 2017-05-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760946727 | Panama City Drugs | Pharmacy | 3127 East Bus 98, Panama City, FL 32401 | 2019-01-24 |
| 1154813418 | Karl Roger Metzger | Pharmacist | 306 S Macarthur Ave, Panama City, FL 32401 | 2018-06-03 |
| 1942703905 | Muhammad Eckhaus | Acupuncturist | 2401 West 15th Street, Panama City, FL 32401 | 2018-03-15 |
| 1922534171 | Wolford Family Practice Inc | Nurse Practitioner | 1027 E Business Hwy 98, Panama City, FL 32401 | 2017-05-10 |
| 1508397381 | Shoreline Medical Solutions & Dme, LLC | Durable Medical Equipment & Medical Supplies | 405 W Oak Ave Ste B, Panama City, FL 32401 | 2017-03-23 |
| 1679027189 | David Lawrence Angier | Behavioral Analyst | 904 Flower Ave, Panama City, FL 32401 | 2016-08-12 |
| 1427422369 | Kathy Purdessy | Nurse Practitioner | 801 E 6th St Ste 604, Panama City, FL 32401 | 2015-11-16 |
| 1881015154 | Anesthesia Unlimited Inc | Nurse Anesthetist, Certified Registered | 801 E 6th Stret, Ste 205, Panama City, FL 32401 | 2014-01-03 |
| 1598193765 | Lashunda Sherese Thomas | Social Worker | 2711 W. 15th St., Panama City, FL 32401 | 2013-10-24 |
| 1144654153 | Raymond Dretti Pacheco | Licensed Practical Nurse | 509 N Center Ave, Panama City, FL 32401 | 2013-08-27 |
| Find all providers in zip 32401 | ||||
| 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 |
|---|---|---|---|---|
| 1982049995 | George G Tracy Md LLC | Emergency Medicine | 2401 Stanford Rd Apt 224, Panama City, FL 32405-3573 | 2013-05-03 |
| 1093064628 | Blue Wave Emergency Physicians LLC | Emergency Medicine | 449 W. 23rd St, Panama City, FL 32405 | 2012-08-29 |
| 1437107349 | Paul Wesley Rogers Jr. | Emergency Medicine | 1232 W 28th Pl, Panama City, FL 32405-3404 | 2006-05-04 |
| 1780662429 | Kevin W Kulow | Emergency Medicine | 449 W 23rd St, Panama City, FL 32405-4507 | 2006-01-04 |
| 1215912068 | Ata Ulhaq | Emergency Medicine | 201 Forest Park Cir, Panama City, FL 32405-4916 | 2005-12-14 |
| 1740664713 | Junco Emergency Physicians LLC | Emergency Medicine | 615 N Bonita Ave, Panama City, FL 32401-3623 | 2015-07-19 |
| 1780093161 | Cathedral Peak Emergency Physicians LLC | Emergency Medicine | 449 W 23rd St, Panama City, FL 32405-4507 | 2014-08-11 |
| 1841635315 | Joel E. Munoz-pagan | Emergency Medicine | 449 W 23rd St, Panama City, FL 32405-4507 | 2013-05-09 |
| 1306280268 | Brandy Nicole Milstead | Emergency Medicine | 615 N Bonita Ave, Panama City, FL 32401-3623 | 2013-04-23 |
| 1013262336 | St Andrews Bay Emergency Physicians, Pllc | Emergency Medicine | 615 N Bonita Ave, Panama City, FL 32401-3623 | 2012-07-24 |
| Find all providers in PANAMA CITY | ||||
| City | PANAMA CITY |
| Zip Code | 32401 |
Please comment or provide details below to improve the information on TIMOTHY P NICHOLS.
| 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.