WALTER KIRT NICHOLS (NPI# 1811934540) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811934540 |
| Entity Type | Individual |
| Full Name | WALTER KIRT NICHOLS |
| Credential | MD |
| Practice Address |
One Hospital Drive Columbia MO 65212-0001 |
| Mailing Address |
Po Box 843966 Kansas City MO 64184-3966 |
| Practice Telephone | 5738821308 |
| Practice Fax Number | 5738845049 |
| Mailing Telephone | 5738843300 |
| Mailing Fax Number | 5738840943 |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2019-10-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
MDR5328 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 200468908 | 05 | |
| MO | RR MEDICARE | 770000391 | 01 |
| MO | RAILROAD MEDICARE | P00415659 | 01 |
| Street Address |
ONE HOSPITAL DRIVE |
| City | COLUMBIA |
| State | MO |
| Zip Code | 65212-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447745260 | Lawrence Xuan Zhang | Internal Medicine | One Hospital Drive, Ma423, Columbia, MO 65212 | 2018-06-25 |
| 1528553492 | David Win Lee | Internal Medicine | One Hospital Drive, Ma423, Columbia, MO 65212 | 2018-06-24 |
| 1699260562 | Ian Thomas Lynch | Internal Medicine | One Hospital Drive, Ma423, Columbia, MO 65212 | 2018-06-24 |
| 1992290852 | Nicholas Brian Epstein | Internal Medicine | One Hospital Drive, Ma423, Columbia, MO 65212 | 2018-06-24 |
| 1447745302 | Meenakshi Praharaju Giri | Internal Medicine | One Hospital Drive, Ma423, Columbia, MO 65212 | 2018-06-24 |
| 1982199840 | Tamar Gubeladze | Internal Medicine | One Hospital Drive, Ma423, Columbia, MO 65212 | 2018-06-24 |
| 1316432289 | Tyler James Maxey | Internal Medicine | One Hospital Drive, Ma423, Columbia, MO 65212 | 2018-06-24 |
| 1033604905 | Richard Dale Swaney | Internal Medicine | One Hospital Drive, Ma423, Columbia, MO 65212 | 2018-06-24 |
| 1205321171 | Ali Ahsen Syed | Internal Medicine | One Hospital Drive, Ma423, Columbia, MO 65212 | 2018-06-24 |
| 1700371671 | Kayci Rachele Huslig | Internal Medicine | One Hospital Drive, Ma423, Columbia, MO 65212 | 2018-06-24 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225594112 | Hee Young Lee | Student in an Organized Health Care Education/Training Program | 1100 Virginia Avenue, University of Missouri Health Car, Columbia, MO 65212 | 2019-02-15 |
| 1093200966 | Alexander John Lubinski | Radiology | 1 Hospital Drive Dco6910, Columbia, MO 65212 | 2018-06-24 |
| 1235638156 | Jami Bates | Physician Assistant | University of Missouri Hospital 1 Hospital Drive, Columbia, MO 65212 | 2018-02-06 |
| 1124554589 | John Wuennenberg | Student in an Organized Health Care Education/Training Program | 1020 Hitt St 2nd Floor, Columbia, MO 65212 | 2017-05-04 |
| 1336672005 | William Paul Christensen | Physical Medicine & Rehabilitation | One Hospital Dr Dc046.00, Dc046.00, Columbia, MO 65212 | 2017-04-09 |
| 1881127108 | Kelli Danielle Bryant | Student in an Organized Health Care Education/Training Program | 1020 Hitt St 2nd Florr, Columbia, MO 65212 | 2017-04-04 |
| 1952832859 | Juhi Koolwal | Radiology | 1 Hospital Dirve Ddc06910, Columbia, MO 65212 | 2017-03-22 |
| 1518319136 | Joseph Patrick Herbert | Neurological Surgery | One Hospital Drive, Dc048.00, Mc314 Mchaney Hall, Columbia, MO 65212 | 2016-07-07 |
| 1407207319 | Jesse Schmid | Otolaryngology | One Hosital Dr Ma314, Columbia, MO 65212 | 2016-06-22 |
| 1508216920 | David Koch | Radiology | 1 Hospital Drive, Dc06910, Columbia, MO 65212 | 2016-06-16 |
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| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619375300 | Curt Milton Vogel II | Surgery | 3707 Woodridge Ct, Columbia, MO 65201-6532 | 2014-12-11 |
| 1811330830 | Patrick Yu | Surgery | 1222 Trotwood Ave Ste 211, Columbia, TN 38401-6405 | 2013-04-09 |
| 1023000858 | David Deaton | Surgery | 2 Medical Park Rd Ste 300, Columbia, SC 29203-6839 | 2005-08-18 |
| 1477017606 | Ashley Torroni Hazelrigg | Surgery | 3 Richland Medical Park Dr Ste 330, Columbia, SC 29203-6862 | 2019-01-22 |
| 1982086948 | Safoora Mahmood Choudry | Surgery | 3220 Bluff Creek Dr, Suite 100, Columbia, MO 65201-3525 | 2015-06-25 |
| 1588923668 | Kathryn Fong | Surgery | 3 Richland Medical Park Dr Ste 330, Columbia, SC 29203-6862 | 2012-05-10 |
| 1700198793 | Middle Tennessee Vascular Associates, Plc | Surgery | 808 Hatcher Ln, Columbia, TN 38401-3524 | 2010-07-08 |
| 1104054162 | Naveen Balasundaram | Surgery | One Hospital Dr, Columbia, MO 65212-0001 | 2009-06-29 |
| 1396914321 | Erica Hope Salinas | Surgery | 3220 Bluff Creek Dr, Suite 100, Columbia, MO 65201-3525 | 2008-02-24 |
| 1265621635 | John Brian Kendrick | Surgery | 1222 Trotwood Ave, Suite 211, Columbia, TN 38401-6436 | 2007-10-22 |
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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.