RUSSEL JAMES NICHOLS (NPI# 1730187436) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730187436 |
| Entity Type | Individual |
| Full Name | RUSSEL JAMES NICHOLS |
| Credential | MD |
| Practice Address |
130 Thompson Avenue Heppner OR 97836 |
| Mailing Address |
Po Box 9 564 E Pioneer Dr Heppner OR 97836 |
| Practice Telephone | 5416765504 |
| Practice Fax Number | 5416768247 |
| Mailing Telephone | 5416765504 |
| Mailing Fax Number | 5416768247 |
| Enumeration Date | 2005-07-07 |
| Last Update Date | 2010-04-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | MD00039026 | WA | Allopathic & Osteopathic Physicians |
| Y | 207Q00000X | Family Medicine | MD22062 | OR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 287633 | 05 | |
| OR | MEDICARE PTAN | 106707 | 01 |
| Street Address |
130 THOMPSON AVENUE |
| City | HEPPNER |
| State | OR |
| Zip Code | 97836 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992326623 | Elizabeth Ann Courtney | Counselor | 550 W. Sperry St., Heppner, OR 97836 | 2020-05-05 |
| 1861025454 | Riley Elaine Beagle | Specialist/Technologist | 285 Nw Baltimore, Heppner, OR 97836 | 2020-02-21 |
| 1306407135 | Olivia Jean Steffey | Counselor | 104 Sw Kinkade Ave, Boardman, OR 97836 | 2019-06-24 |
| 1083179527 | Zaira Sanchez | Counselor | 104 Sw Kinkade Avenue, Boardman, OR 97836 | 2019-02-08 |
| 1053885798 | Paul Daniel Bane Jr. | Counselor | 550 W Sperry St., Heppner, OR 97836 | 2019-01-16 |
| 1225402449 | Laurie B Fieldman | Social Worker | 550 W Sperry St, Heppner, OR 97836 | 2015-11-27 |
| 1053749630 | Kasandra Kennedy | Counselor | 550 W. Sperry Street, Heppner, OR 97836 | 2013-10-17 |
| 1548561566 | Community Counseling Solutions | Respite Care | 68982 Willow Creek Drive, Heppner, OR 97836 | 2010-11-08 |
| 1073746541 | Shelley K Mccabe | Physical Therapist | 130 Ne Thompson Avenue, Heppner, OR 97836 | 2009-08-31 |
| 1588807689 | Gayle Hamann Johnston | General Practice | 564 E Pioneer Drive, Heppner, OR 97836 | 2009-04-20 |
| Find all providers in zip 97836 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598792020 | Kenneth Fred Wenberg | Family Medicine | 274 N Main Street, Heppner, OR 97836 | 2006-06-28 |
| 1801823174 | Daniel C Hambleton | Family Medicine | 130 Thompson St, Heppner, OR 97836-7325 | 2006-06-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992306344 | Emily Herrmann | Family Medicine | 1965 Alder St, Eugene, OR 97405-2937 | 2020-11-03 |
| 1366041071 | Christina Cabelly | Family Medicine | 16305 Sw Loon Dr, Beaverton, OR 97007-8989 | 2020-10-23 |
| 1386242790 | Rose City Medical Clinic LLC | Family Medicine | 11397 Se Cascade View Ct, Clackamas, OR 97086-9753 | 2020-10-16 |
| 1346847332 | Jasmine Barnhart | Family Medicine | 1935 Canyon Ave, Medford, OR 97504-2128 | 2020-10-03 |
| 1255949434 | Deep Creek Family Medicine | Family Medicine | 39084 Proctor Blvd Ste A, Sandy, OR 97055-8064 | 2020-07-14 |
| 1316569635 | Doctors On Video | Family Medicine | 13215 Sw Hawks Beard St Apt 726, Tigard, OR 97223-2125 | 2020-05-08 |
| 1710510094 | Gresham Family Care Inc | Family Medicine | 1800 Blankenship Rd Ste 350, West Linn, OR 97068-4182 | 2020-02-14 |
| 1962041707 | Shift Bend Functional Medicine | Family Medicine | 151 Sw Shevlin Hicks Dr, Suite #1, Bend, OR 97702 | 2019-12-26 |
| 1083252472 | Driven Enterprises PC | Family Medicine | 20700 Wandalea Dr, Bend, OR 97701-1594 | 2019-12-16 |
| 1891331195 | Praxis Medical Group Inc | Family Medicine | 1426 Oak Street, Eugene, OR 97401-4043 | 2019-11-21 |
| Find all providers with the same taxonomy | ||||
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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.