DR. WILLIAM CLYDE NICHOLAS


Address: 2500 North State Street, Department of Medicine Division of Endocrinology, Jackson, MS 39216-4500
Phone: 6019845525

DR. WILLIAM CLYDE NICHOLAS (NPI# 1871513895) 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) 1871513895
Entity Type Individual
Full Name DR. WILLIAM CLYDE NICHOLAS
Credential MD
Practice Address 2500 North State Street
Department of Medicine Division of Endocrinology
Jackson
MS 39216-4500
Mailing Address Po Box 24146
University Physicians Pllc
Jackson
MS 39225-4146
Practice Telephone 6019845525
Mailing Telephone 6019845525
Mailing Fax Number 6019845769
Enumeration Date 2006-07-20
Last Update Date 2012-06-14
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RE0101X Internal Medicine
Specialization: Endocrinology, Diabetes & Metabolism
08290 MS Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MS RAILROAD RR 110127661 01
MS 0017122 05
LA 1960802 05

Other Providers WILLIAM NICHOLAS

NPI Name Taxonomy Address Enumeration
1699802579 William R Nicholas Otolaryngology 127 Locust St, Danvers, MA 01923-1654 2007-02-27
1326116427 William Nicholas Allergy & Immunology 44 Oyster Shores Rd, East Hampton, NY 11937-1179 2006-11-30
1982032355 William Nicholas Physician Assistant Us Highway 491 North, Shiprock, NM 87420 2013-10-23
1356387484 William John Nicholas Internal Medicine 3202 Mcintosh Cir, Ste Ll03, Joplin, MO 64804-3646 2006-06-20

Office Location

Street Address 2500 NORTH STATE STREET
DEPARTMENT OF MEDICINE DIVISION OF ENDOCRINOLOGY
City JACKSON
State MS
Zip Code 39216-4500

Providers in the same location

NPI Name Taxonomy Address Enumeration
1376549816 John Joseph Sheehan Jr. Internal Medicine 2500 North State Street, Department of Medicine Division of Digestive Disease, Jackson, MS 39216-4500 2005-06-21
1912520370 Janna Leigh Williams Student in an Organized Health Care Education/Training Program 2500 North State Street, Dept of Emergency Medicine, Jackson, MS 39216 2020-05-20
1609498401 Chin-qune Oliver Yeung Lai Wah Student in an Organized Health Care Education/Training Program 2500 North State Street, Jackson, MS 39216 2020-05-14
1689293250 Karine Desouza Family Medicine 2500 North State Street, Attn: Department of Family Medicine, Jackson, MS 39216 2020-04-13
1225667249 Mallory Browning Student in an Organized Health Care Education/Training Program 2500 North State Street, Jackson, MS 39216-4505 2020-04-02
1912490400 Alberto Andres Arteaga Student in an Organized Health Care Education/Training Program 2500 North State Street, Ummc, Department of Otolaryngology - 5 East, Jackson, MS 39216 2018-06-11
1003309493 Britton Postlethwaite Beatrous Student in an Organized Health Care Education/Training Program 2500 North State Street, Ummc Ent Department - 5east, Jackson, MS 39216 2018-06-11
1750874145 Joseph Alexander De Gruy Student in an Organized Health Care Education/Training Program 2500 North State Street, Ummc Ent Department - 5east, Jackson, MS 39216 2018-06-11
1689161523 Joshua Phillip Rouhan Student in an Organized Health Care Education/Training Program 2500 North State Street, Department of Emergency Medicine, Jackson, MS 39216-4505 2018-04-17
1336660356 Iram Aman Student in an Organized Health Care Education/Training Program 2500 North State Street, Jackson, MS 39216 2017-06-29
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1861011553 Ashley Melancon Prewitt Registered Nurse St. Dominic's North Campus, Behavioral Health, Jackson, MS 39216 2020-04-13
1194353391 Brianna Arrington Student in an Organized Health Care Education/Training Program Med/ Peds, 2500 N. State St., Jackson, MS 39216 2020-04-01
1720616485 Roshina Khalid Khan Student in an Organized Health Care Education/Training Program Department of Anesthesiology, Ummc, 2500 N. State St., Jackson, MS 39216 2020-03-30
1275183550 Amanda Lynn Morellato Dentist Ummc School of Dentistry, 2500 North State Street, Jackson, MS 39216 2019-09-18
1396305553 Abhishek Chhabra Student in an Organized Health Care Education/Training Program Lakeland Family Medicine Clinic, 878 Lakeland Dr., Jackson, MS 39216 2019-06-19
1427615996 Hometown Diagnostics Clinical Medical Laboratory Translational Research Center Tr311, 2500 North State Street, Jackson, MS 39216 2019-05-21
1346807773 Shukundala C Smith Behavior Technician New Learning Resources 2510 Lakeland Terrace, Jackson, MS 39216 2019-05-21
1063901098 G Eli Howell Md Pllc Plastic Surgery 971 Lakeland Dr Ste 225, Jackson, MS 39216 2018-05-04
1588168132 Caleb Zumbro Student in an Organized Health Care Education/Training Program Ummc Med/peds, 2500 N. State St., Jackson, MS 39216 2018-03-20
1639677230 Walgreen Co Pharmacy 971 Lakeland Dr Ste 101, Jackson, MS 39216 2018-01-29
Find all providers in zip 39216

Taxonomy Information

Taxonomy Code 207RE0101X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Endocrinology, Diabetes & Metabolism

Taxonomy Definition

An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1740549864 Soemiwati Weidris Holland Internal Medicine 27 S Cooks Bridge Rd Ste 2-5, Jackson, NJ 08527-2524 2012-05-09
1275543175 Clemente V. Zulueta, Jr., Md, Pllc Internal Medicine 95 Jackson Hts, Ste 201, Jackson, KY 41339-6500 2006-08-09
1477563104 Amanda Reagan Schiefer Internal Medicine 971 Lakeland Drive, Jackson, MS 39126 2006-08-08
1790222651 W.a. Foote Memorial Hospital, Inc Internal Medicine 205 N. East Ave, Jackson, MI 49201 2017-01-30
1134671787 Jackson Thyroid & Endocrine Clinic Pllc Internal Medicine 971 Lakeland Dr, Suite 353, Jackson, MS 39216-4643 2016-10-31
1154733392 Jamie L Brewer Internal Medicine 971 Lakeland Dr, Suite 450, Jackson, MS 39216-4643 2014-05-22
1841601861 Adrienne Webb Maier Internal Medicine 1200 N State St Ste 500, Jackson, MS 39202-2027 2014-05-13
1033494372 Leap One Enterprise Pllc Internal Medicine 5160 Galaxie Dr, Jackson, MS 39206-4308 2011-10-19
1356638845 Christina C. Glover Internal Medicine 1200 N State St, Suite 500, Jackson, MS 39202-2000 2011-07-05
1023323029 Vanessa L. Sandifer, M.d., Pllc Internal Medicine 971 Lakeland Drive, Suite 450, Jackson, MS 39216-0450 2010-08-13
Find all providers in JACKSON

Competitor

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City JACKSON
Zip Code 39216

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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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