DR. JOSEPH M. NICHOLSON III (NPI# 1841260015) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841260015 |
| Entity Type | Individual |
| Full Name | DR. JOSEPH M. NICHOLSON III |
| Credential | D.O. |
| Practice Address |
1435 S Utica Ave Tulsa OK 74104-4649 |
| Mailing Address |
10231 S Evanston Pl Tulsa OK 74137-5633 |
| Practice Telephone | 9185512355 |
| Practice Fax Number | 9185512020 |
| Mailing Telephone | 9185512355 |
| Mailing Fax Number | 9185512020 |
| Enumeration Date | 2006-01-23 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
3090 | OK | Allopathic & Osteopathic Physicians |
| X | 207Q00000X | Family Medicine | 3090 | OK | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386730257 | Joseph A Nicholson Jr. | Physical Therapist | 109 Bridge St Ste 300, Danville, VA 24541-1222 | 2006-10-05 |
| 1972541118 | Joseph E. Nicholson | Anesthesiology | 995 9th Ave Sw, Bessemer, AL 35022-4527 | 2006-06-02 |
| Street Address |
1435 S UTICA AVE |
| City | TULSA |
| State | OK |
| Zip Code | 74104-4649 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093826034 | Tulsa Health Group, Plc | Internal Medicine | 1435 S Utica Ave, Tulsa, OK 74104-4649 | 2006-08-31 |
| 1427168426 | Steven Ray Wiseman | Internal Medicine | 1435 S Utica Ave, Tulsa, OK 74104-4649 | 2006-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982253811 | Ultimate Health and Pain Management | Pain Medicine | 1844 East 15th Street, Tulsa, OK 74104 | 2019-09-04 |
| 1225691223 | David Murray | Student in an Organized Health Care Education/Training Program | 2100 S Wheeling Ave, Tulsa, OK 74104 | 2019-04-16 |
| 1083115828 | Susan Fortner | Counselor | 1328 S. Delaware Pl, Tulsa, OK 74104 | 2018-02-27 |
| 1033636915 | Mark Brizendine | Dietitian, Registered | Hillcrest Medical Center 1120 S. Utica Ave, Tulsa, OK 74104 | 2017-08-23 |
| 1295259067 | Demi Reyd Cook | Nurse Practitioner | 1717 A South Utica, Tulsa, OK 74104 | 2017-08-02 |
| 1851827059 | Oklahoma Cvs Pharmacy | Durable Medical Equipment & Medical Supplies | 1701 E 15th Street, Tulsa, OK 74104 | 2017-05-08 |
| 1801334982 | Jamie Lynne Miller | Internal Medicine | 2000 S. Wheeling Avenue Ste 510, Tulsa, OK 74104 | 2017-02-08 |
| 1578913430 | Donna Durant-macon | Registered Nurse | 315 South Utica, Tulsa, OK 74104 | 2016-06-21 |
| 1669833851 | Mbc Dental | Dentist | 401 S. Utica Ave, #a, Tulsa, OK 74104 | 2016-03-15 |
| 1518332170 | Neuro Dynamics LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 22 S Lewis, Tulsa, OK 74104 | 2015-12-08 |
| Find all providers in zip 74104 | ||||
| Taxonomy Code | 207PE0004X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| Specialization | Emergency Medical Services |
| An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326149048 | Nadim N Daher | Emergency Medicine | 802 S Jackson Ave Ste 310, Tulsa, OK 74127-9057 | 2006-09-26 |
| 1134186299 | Boyd David Burns | Emergency Medicine | 4502 E. 41st St, Tulsa, OK 74135-9923 | 2006-05-01 |
| 1649235532 | Stephen R Gilliland | Emergency Medicine | 8813 S 71st East Ave, Tulsa, OK 74133-5056 | 2006-04-20 |
| 1225018757 | Stanley R Stacy | Emergency Medicine | 7153 S Yale Ave, Tulsa, OK 74136-6308 | 2006-01-19 |
| 1255321162 | Joe D Sagely | Emergency Medicine | 1217 E 48th St, Tulsa, OK 74105 | 2005-10-24 |
| 1245220144 | Jason A. Logan | Emergency Medicine | 7600 S Lewis Ave, Tulsa, OK 74136-6836 | 2005-10-24 |
| 1558359505 | Richard P Holsopple II | Emergency Medicine | 1717 S Utica Ave Ste A, Tulsa, OK 74104-5346 | 2005-10-12 |
| 1508424755 | Tulsa Ep, Pllc | Emergency Medicine | 717 W. 71st Street, Tulsa, OK 74132 | 2019-06-03 |
| 1063801660 | John Clay Bowen | Emergency Medicine | 1717 S Utica Ave Ste A, Tulsa, OK 74104-5346 | 2015-01-20 |
| 1245656834 | Jonathan Robins | Emergency Medicine | 744 W 9th St, Tulsa, OK 74127-9020 | 2014-03-06 |
| Find all providers in TULSA | ||||
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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.